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Diseases Process
Instructed patient to secure the new ties to the tracheostomy tube flanges before removing the old ones. Insert your little finger between the tie tapes and your patient's neck to check the fit and ensure his comfort.
Instructed patient to place a sterile split sponge under the tube flanges to absorb secretions.
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.
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 begin assessing his tracheostomy by inspecting the stoma site, which is typically slightly larger than the tracheostomy tube.
Instructed patient when should you contact your caregiver?, The skin around the nephrostomy tube is red, swollen, itches, or has a rash, you have a fever, you have lower back or hip pain, There are changes in how your urine looks or smells, a large amount of urine is draining into the drainage bag over a short period of time.
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 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 to instruct patient Call your doctor or nurse call line now or seek immediate medical care if: you have new or worse symptoms of a kidney infection. These may include: pain or burning when you urinate, a frequent need to urinate without being able to pass much urine, pain in the flank, which is just below the rib cage and above the waist on either side of the back, blood in the urine.
SN to instruct patient Keep the site covered when you shower. Tape a piece of clear adhesive plastic over the dressing to keep it dry while you shower. Do not take tub baths.