NURS 3290 Lecture Notes - Lecture 18: Free Flap, Erythroplakia, Laryngoscopy
12 Apr 2016
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Tobacco, alcohol, chronic irritaion (pipe smoker, jagged tooth) Leukoplakia (white patch that doesn"t oten turn into cancer) Erythroplakia (red velvety patch, 90% turn into cancer) Late signs: sores are painful and aggravated by acidic foods. Toulidine blue apply dye, the cancerous cells would absorb it. Radiaion: xerostomia (dry mouth, stomaiis (irritated sore, sensory/taste changes, faigue (sill do light exercise) Surgery: glossectomy, hemiglossectomy, mandibulotomy (gives exposure to mouth/throat, lymph nodes, replace with free lap (issue from somewhere else) Airway: inlammaion, trach: o2 35%/10l, may have to drain tubing. Nutriion: parenteral for 24-48hr, followed by tube feed. Free lap assessment: color, temp (warm), turgor (boggy/ight), circulaion, drainage tubes, free lap comes from ibula, anterolateral thigh, radial forearm. Tracheostomy: cleaning as ordered, change the inner cannula, drain sponge dressing, must have spare trach at bedside and trach dilator incase of emergency, sucioning will be blood inged post op. Indirect laryngoscopy: uses mirror and light, can take a biopsy, dr oice under local anestheic.
