diverticulosis-and-diverticulitis
Tracheostomy
Instructed patient how can I prevent infections. Keep your mouth clean. Saliva and mucus contain germs that cause infection if they enter your airway. Brush your teeth twice a day. Suction your mouth as needed. Use a mouth wash twice a day or as directed. Take deep breaths and cough 10 times each hour. This will decrease your risk for a lung infection. Take a deep breath and hold it for as long as you can. Let the air out and then cough strongly. Deep breaths help open your airway. You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece in your mouth and take a slow, deep breath, then let the air out and cough. Repeat these steps 10 times every hour.
Tracheostomy care Instructed patient caregiver Signs and symptoms of difficulty breathing are: Retractions Pulling of the skin between the ribs, under the breastbone or around the trach itself. Also symptoms of difficulty breathing are: Sweaty and pale skin, a person is sweaty and pale and seems to be working hard to breathe while at rest, dusky lips or nail beds. The lips or nail beds look dark, dusky or blue.
Instructed patient to note the amount, color, consistency, and odor of tracheal and stomal secretions. Confirm the tracheostomy tube size and whether it's cuffed or fenestrated.
Patient advised to get a morrow and place it near suction machine so in that way he will see how to introduce suction catheter into tracheostomy tube without touching anything and in that way prevent contamination and further RTI.
Instructed patient to always keep supplies at your patient's bedside for suctioning; tube and stoma care; delivery of oxygen, heat, and humidity; tracheostomy tube replacement; and artificial ventilation.
Instructed patient that when on your assessment findings (coarse breath sounds, noisy breathing, and prolonged expiratory sounds) indicate that your airway needs clearing, suction it using sterile technique. Hyperoxygenate him before and after suctioning and between passes to compensate for suctioning-induced hypoxemia.
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.
Instructed patient how do I care for my skin around my trach tube. Clean your skin at least once each day. You may need to clean it more often if you cough up a lot of thick mucus. You may need someone to help you clean your skin. Wash your hands and put on gloves. This will prevent infection. Suction the area around your stoma. This will help remove mucus .Clean your skin around the stoma, clean the tube flanges, change wet or dirty trach ties., place a gauze between your skin and the flanges and check your skin every day for signs of infection. Look for redness or swelling of the skin around your tube. Also look for pus, bleeding, or a rash.
Instructed patient about some common ways to keep the air you breathe moist are:putting a wet gauze or cloth over the outside of your tube. Keep it moist, ,using a humidifier in your home when the heater is on and the air is dry. A few drops of salt water (saline) will loosen a plug of thick mucus. Put a few drops in your tube and windpipe, then take a deep breath and cough to help bring up the mucus.
If the inner cannula is designed for reuse, clean it in a solution of equal parts hydrogen peroxide and 0.9% sodium chloride. Wear sterile gloves and maintain aseptic technique. Remove encrusted secretions from the lumen of a metal tube with sterile pipe cleaners or a soft sterile brush. For a plastic tube, use only sterile pipe cleaners to prevent damage by a brush. After cleaning, thoroughly rinse the inner cannula with 0.9% sodium chloride solution.