A.M. is a 45-year-old male who suffered a severe traumatic brain injury 7 days ago.
He is intubated and mechanically ventilated.
He remains comatose and unable to be weaned from the ventilator at this point.
He is taken to the OR for insertion of a #8 Shiley trach with nondisposable inner cannula.
question
1. What are your priority assessments for A.M. on his return from the OR?
2. What emergency equipment should you have available at the bedside?
3. What nursing care will you provide related to the tracheostomy?
Traumatic injury leading to significant brain damage secondary to obstructed blood flow and decreased tissue perfusion which may result in irreversible brain damage and cell death .
Major signs of severe brain injury are altered level of consciousness, confusion, pupillary abnormalities, sensory Dysfunction, seizures, movement disorders , hypertension ,altered or depressed respiratory pattern,etc.
Coma may be indicative of significant degree of brain damage. Most important goals in management of the patient with a head injury is to establish airway and maintaining patency . This provides optimal oxygenation to preserve cerebral function .
For maintaining patent airway a tracheostomy may be indicated. A surgical procedure to create a opening in trachea for introduction of tracheostomy tube which permit long term use of mechanical ventilation.
1. The priority assessments are
2. The emergency equipments at bedside are
3. Nursing care related to tracheostomy are
A.M. is a 45-year-old male who suffered a severe traumatic brain injury 7 days ago. He is intubated and mechanically ven...
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