Nose and Throat Septoplasty – surgical reconstruction of the nasal septum Sinusotomy – surgical incision into a sinus. Used to tx chronic sinusitis Laryngectomy – surgical removal of the larynx Endotracheal Intubation – establishes an airway
Trachea and Bronchi Tracheotomy – emergency procedure in which an incision is made into the trachea to gain access to the airway below a blockage Tracheostomy – creating an opening into the trachea and inserting a tube to facilitate airway clearance and air diffusion Stoma – an opening on a body surface
Lungs, Pleura, Thorax Pneumonectomy – removal of all or part of a lung Lobectomy – removal of a lobe Pleurectomy – surgical removal of part of the pleura Thoracentesis – puncture of a chest wall with a needle to obtain the fluid from the pleural cavity, etc (use to re-expand collapse lung and to drain pleural effusions Thoractomy – surgical incision into the chest wall
Oxygen Depending on the state, health care assistant may not be able to administer Used to treat hypoxia (symptoms inc. rapid resp rate/pulse, restlessness and cyanosis) Needs a physician order – will include the method of administration and the concentration to be given
Methods of Administration Cannula –a low- flow oxygen delivery device designed to operate with flows usually 2 to 6 L/min.
Methods of O2 Administration Mask – rate 6 to 10 liters/min These devices are high-flow oxygen delivery devices. Precise F1O2's are controlled using Bernoulli's principle. F1O2 can be adjusted by changing either the size of the jet or the size of the air entrainment port.
Methods of O2 Administration Tent/Hood – rate 10 to 12 liters/min
Methods of O2 Administration Plastic tube inserted by MD, RN, RT, or other qualified indiv. Flow rate 2 to 6L/min
Precautions Monitor patient Humidify O2-distilled water, max fill ½ to 2/3 fill Avoid flammable materials No smoking No flammable materials (nail polish removal) Static electricity