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Nurse : I Am A Graduate With BScN From American International University West Africa, The Gambia. Wish To Specialize In Mental Health So Will Be Sharing Topics Related To Mental Health And Health Care

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Endotracheal Tube
~2.1 mins read
DEFINITION
An endotracheal tube is a flexible plastic tube that is placed through the mouth into the trachea (windpipe) to help a patient breathe. The endotracheal tube serves as an open passage through the upper airway. The process of inserting the tube is called endotracheal intubation.

PURPOSE
The purpose of endotracheal intubation is to permit air to pass freely to and from the lungs in order to ventilate the lungs. Endotracheal tubes is connected to a ventilator, which delivers oxygen to the lungs.There are many reasons why an endotracheal tube may be placed,this include;
- To support breathing for patient with respiratory distress
- General surgery
- To protect airway against aspiration 
- To visualize the airway
- Foreign body removal

PROCEDURE
Equipment needed
- Laryngoscopes 
- Endotracheal tube
- Lubricating gel
- Gum elastic
- Mechanical ventilator
- Anesthetic agents
- Ambubag
- Face mask
- Oxygen
- Plaster
- Syringe
- Stethoscope 

Intubation
During intubation, a physician usually stands at the head of the bed looking towards the patient's feet and with the patient lying flat. The positioning will vary depending on the setting and whether the procedure is being done with an adult or child. With children, a jaw thrust is often used.
 
The endotracheal tube with the assistance of a lighted laryngoscope  is inserted through the mouth after moving the tongue out of the way. The scope is then carefully threaded down between the vocal cords and into the lower trachea.
 
When it's thought that the endotracheal tube is in the proper location, the doctor will listen to the patient's lungs and upper abdomen to make sure that the endotracheal tube was not inadvertently inserted into the esophagus. Other signs that suggest the tube is in the proper position may include seeing chest movement with ventilation and fogging in the tube.
 
When a doctor is reasonably sure the tube is in position, a balloon cuff is inflated to keep the tube from moving out of place. (In infants, a balloon may not be needed). The tube is then taped to the patient's face and patient is connected to a mechanical ventilator.

AFTER PROCEDURE
After the endotracheal tube is in place and a patient connected to a ventilator, health care providers will continue to monitor the tubing, settings, and provide breathing treatments and suctioning as needed. Careful attention to oral care will also be provided. Due to the location of the tube, patients who are conscious will be unable to talk while the tube is in place.

COMPLICATIONS
- Bleeding from the mouth
- Infection 
- Temporary hoarseness after removing the tube
- Pneumothorax 
- Tracheal stenosis
- Vocal cord paralysis
- Tracheomalacia
- Persistent need for ventilatory support
- Atelectasis
Kindly read and hope it will be useful.
Thanks





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Horla
10 TIPS FOR SUCCESSFUL WEIGHT LOSS Being Overweight Or Obese ...
~1.0 mins read
10 TIPS FOR SUCCESSFUL WEIGHT LOSS
 
Being overweight or obese can lead to a range of health problems. Although many different “fad” diets are available, a balanced lifestyle and nutritious diet are the key to healthful living and better weight control.
 
According to the Centers for Disease Control and Prevention, around 93.3 million adultsTrusted Source in the United States had obesity in 2015–2016. This number is equivalent to 39.8 percent of the population.
 
Carrying excess body weight can increase the risk of serious health problems, including heart disease, hypertension, and type 2 diabetes.
 
Crash diets are not a sustainable solution, whatever perks their proponents might claim them to have. To both lose weight safely and sustain that weight loss over time, it is essential to make gradual, permanent, and beneficial lifestyle changes.
 
In this article, we provide 10 tips for weight control.
 
1. Eat varied, colorful, nutritionally dense foods
2. Keep a food and weight diary
3. Engage in regular physical activity and exercise
4. Eliminate liquid calories
5. Measure servings and control portions
6. Eat mindfully
7. Stimulus and cue control
8. Seek social support
9. Plan ahead
10. Stay positive
 
I hope this article is useful. Kindly click the like button if you love the article and make contributions too
 

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