catheter-teaching-guide
Instructed patient supplies that can be cleaned and disinfected for re-use: Trach tubes Trach swivel adapters Trach ties, Aerosol masks ,T-Pieces, Speaking valves, Nebulizers, Most hard plastic supplies. Cleaning your respiratory equipment: (Weekly),Cleaning and Disinfecting the Humidifier: (Daily)
Instructed patient in emergency care These pages will cover prevention of an emergency situation, and what to do if: Your loved one has trouble breathing or stops breathing You cannot insert a trach tube The trach falls out.
Instructed patient the following is a list of preventive measures that may help to avoid some problems: Make sure the trach is getting enough humidity. Humidity will keep the mucus loose and decrease the chances of a mucus plug. If you hear a whistling sound from the trach, this might mean that the airway is dry. Always make sure the trach ties are securely fastened and are tight enough around the neck.
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.
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.
SN advised patient call your doctor or nurse call line now or seek immediate medical care if: You have new bruises that are away from the injection site or blood spots under your skin, you have a nosebleed., you have blood in your urine.Your stools are black and tar-like or have streaks of blood, you have vaginal bleeding when you are not having your period, or heavy period bleeding.
SN advised patient don't rub the injection site. This could cause bruising. Don't push air bubbles out of the syringe unless your doctor tells you to. Each syringe comes with air bubbles. Call 911 anytime you think you may need emergency care. For example, call if: You cough up blood.You vomit blood or what looks like coffee grounds.You pass maroon or very bloody stools.
Instructed patient t other S/S of cardiac complications requiring medical intervention such as: increased SOB, palpitations, irregular heart beat, faintness, and weakness. Replace butter and margarine with heart-healthy oils such as olive oil and canola oil. Other heart-healthy foods include walnuts, fatty fish like salmon and tuna, whole-grain breads, low-fat dairy products, beans, and lean meats. Ask your caregiver how much salt you can eat each day. Avoid salt substitutes.
Instructed patient Eat a heart-healthy diet Eating a healthy diet can reduce your risk of heart disease. A diet rich in fruits, vegetables and whole grains can help protect your heart. Beans, other low-fat sources of protein and certain types of fish also can reduce your risk of heart disease. Stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.
Instructed patient what lifestyle choices can help me feel my best: Stay active. If you are not active, your symptoms are likely to worsen quickly. Walking, and other types of physical activity help maintain your strength and improve your mood. Physical activity also helps you manage your weight. Eat heart-healthy foods and limit sodium (salt An easy way to do this is to eat more fresh fruits and vegetables and fewer canned and processed foods.