A client who has an endotracheal tube is being considered for a tracheostomy. Which of the following criteria would support the placement of a tracheostomy in this client?
1. Client is unable to maintain airway when extubated.
2. Client has a history of diabetes mellitus.
3. Client has been diagnosed with hypertension.
4. Client is coughing and bucking the endotracheal tube.
1
A tracheostomy tube would be indicated for clients who fail to wean rapidly, are unable to protect the airway for a prolonged period of time because of neurological problems, and have problems with oropharyngeal trauma. A history of diabetes mellitus or hypertension are not indications for the placement of a tracheostomy. Client coughing and bucking the endotracheal tube could be indications that the client can maintain the airway.
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