diverticulosis-and-diverticulitis
Tracheostomy
Instructed patient how to reinsert the inner cannula and securely lock it into place.
Instructed patient Don't clean and reuse an inner cannula designed for one-time use.
Instructed patient Don't cut gauze and place it under the tracheostomy tube flanges; inhalation could draw fibers into the patient\'s trachea. Use a manufactured split sponge.
Instructed caregiver include ensuring that the tracheotomy tube is securely in place and is patent.
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.
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.
Instructed patient sterile technique includes: Hand washing, Wearing sterile gloves. Using a new trach tube, inner cannula, and trach tie. Using sterile water (new bottle or bag every 24 hours). Discarding suction catheters after each use.
Instructed patient as much as possible, the skin should be kept clean and dry. You may need to clean the skin around the trach tube several times throughout the day. Call your doctor if you notice thick secretions that are yellow or green in color.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Seeing mucus in the opening of the trach tube or hearing mucus in the airway Increased respiratory rate or effort Retractions (which is seen when the skin between the ribs pulls in while breathing.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Nasal flaring (which is seen when the nostril flares out when a person breaths in) Change in skin color from normal to pale or blue Changes in activity, such as if a child is upset or inconsolable, or appears to be sleepy Increased coughing.