Final answer:
For a STOMA patient with inadequate respirations, emergency medical intervention is needed. Treatment may include CPAP or assisted ventilation. Post-operative care often involves maintaining airway patency and monitoring until recovery.
Step-by-step explanation:
Patients with a STOMA experiencing inadequate respirations require immediate medical intervention. Initial steps would include assessing the stoma for any obstructions and checking that the tracheostomy tube is patent. If the issue is not related to blockage or mechanical defect, emergency procedures such as resuscitation and potential re-intubation may be necessary.
During a scenario like this, a clinician might apply continuous positive airway pressure (CPAP) if spontaneous breathing is possible. This helps to keep the airways open and support respiration. In cases of Respiratory Distress Syndrome (RDS), therapies such as the administration of pulmonary surfactant, corticosteroids, supplemental oxygen, and assisted ventilation are commonly used. These treatments have significantly reduced the mortality rate associated with RDS by improving lung function until proper development occurs.
Post-operative care for patients after surgeries involving general anesthesia often includes strategies to maintain clear airways because the anesthesia can cause the tongue to relax and potentially obstruct breathing. Techniques such as endotracheal intubation are used during the surgery to ensure the patient's airway stays open. After surgery, the gradual shifting of anesthetic gases and the natural return of muscle control allow for the removal of the breathing tube, followed by close monitoring as the patient regains full control of their respiration.