Chapter 36 Airway Management

The Airway The importance of a clear airway Factors that jeopardize airway patency

Natural Airway Management Liquefying secretions Inhalation therapy Mobilizing secretions Postural drainage Percussion

Aerosol Therapy

Collecting a Sputum Specimen

Lung Segments and Corresponding Postural Drainage Positions

Performing Postural Drainage

Performing Percussion

Natural Airway Management (cont’d) Mobilizing secretions (cont’d) Vibration Suctioning secretions Nasopharyngeal suctioning Nasotracheal suctioning

Variations in Suction Pressure

(Refer to Skill 36-1 in the textbook.) Suctioning the Airway (Refer to Skill 36-1 in the textbook.)

Placement of a Nasopharyngeal Tube

Natural Airway Management (cont’d) Suctioning secretions (cont’d) Oropharyngeal suctioning Oral suctioning

Yankeur-Tip Suction Device for Oral Suctioning

Artificial Airway Management Oral airway Tracheostomy Tracheostomy tube Tracheostomy suctioning Tracheostomy care

A Cuffed Tracheostomy Tube

Inserting an Oral Airway

Nursing Implications Nursing diagnoses Ineffective Airway Clearance Impaired Gas Exchange Risk for Infection Impaired Spontaneous Ventilation Anxiety Deficient Knowledge

Ineffective Airway Clearance