Tracheostomy

Tracheostomy Teaching 1860

Instructed patient the following is a list of preventive measures that may help to avoid some problems: Make sure that the trach is open to air and that nothing is blocking it such as clothing or bedding. Always have a child nap or sleep with their apnea monitor or pulse oximeter on. Do not discontinue their use unless discussed with your ENT doctor.

Tracheostomy Teaching 1861

Instructed patient what to do if a person has trouble breathing The most common reason for breathing problems, other than an illness, is that the trach tube becomes plugged with dried mucus. Making sure to provide enough humidity can help prevent this problem. However, if the trach does become plugged, try to remove the plug by suctioning.

Tracheostomy Teaching 1862

Instructed patient what to do if a person has trouble breathing The most common reason for breathing problems, other than an illness, is If you have trouble passing the catheter into the trach and it feels tight, put a few drops of saline into the tube and try to suction again. Do not force the catheter; it may push the plug in further. If you are unable to remove the mucus plug, change the trach tube and try to suction again.

Tracheostomy Teaching 1811

Instructed instructed call your doctor if you notice if around your stoma any redness, swelling, irritation, bleeding, green
 discharge or food.

Tracheostomy Teaching 1812

Instructed patient if you have a hard time breathing, you may have secretions in your trach tube. Take out the inner 
cannula to check for mucous and clean if necessary. Then replace it. If your breathing does not get better, keep using your 
humidity, and cough hard.

Tracheostomy Teaching 1813

Instructed patient if your trach tube comes out Don’t panic! Stay calm. Your stoma will stay open. If you do not know how 
to put the tube back in or you can’t get it in, have someone take you to the nearest Emergency Department, or go to your 
family doctor’s office. Take your extra trach tube with you.

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Instructed caregiver when should I call healthcare provider? Contact your healthcare provider or physician immediately:. If you have an irregular heart rate, if you feel increased pain or discomfort, note: It is normal to feel some pain and discomfort for about a week after the tracheostomy procedure.

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Instructed caregiver to call patient's doctor if patient have: fever or chills, redness, swelling, or pain that is getting worse. Bleeding or drainage from the hole.

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Instructed caregiver include ensuring that the tracheotomy tube is securely in place and is patent.

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Instructed caregiver about adequate hydration is necessary to keep secretions thin and mobile. Humidified tracheostomy collars provide some moisture but are not a source of hydration.