kitty-jung-pornstar-tube-videoSearch
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.
Instructed patient to check for redness and swelling in the area where the tube goes into your body. Check for fluid draining from your stoma (the hole where the tube was put in).
Instructed patent / CG wash skin around the tube with soap and warm water. Clean around G-tube to remove any drainage and / or crusting. Rinse soap off with clear water. Dry skin thoroughly. Keep this site clean and dry.
Instructed patient check for redness, swelling, any drainage or excess skin growing around the tube. A small amount of clear tan drainage can be normal. Call your care team with any concerns. Instructed patient remove old dressing (if dressing is being used). Look at the area where the tube enters the skin
Instructed patient While the stoma site heals, clean around the stoma site daily. Follow these steps: Allow skin to dry. 2-Instructed patient While the stoma site heals, clean around the stoma site daily. Follow these steps:Observe your stoma site daily for redness, pain , swelling, or unusual drainage around the tube. If you notice any of these signs, call your doctor 3-Instructed patient If you cannot unclog your tube, call your doctor. It is important not to miss your prescribed liquid food and water.
SN to instruct patient change the bandage around the tube, the bolsters, skin barriers, and tube attachments at least every 7 days. If your bandages, barriers, or devices get dirty or wet, change them right away, and as often as needed.
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.
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.
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.
SN instructed patient/PCG on aspiration as the most common complication related to tube feeding. SN explained that this occurs when food is actually inhaled into the lungs (can lead to pneumonia), but if patient is kept upright during feeding, this complication can be greatly minimized.