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In This Section The upper airway warms, cleans and moistens the air we breathe. The trach tube bypasses these mechanisms, so that the air moving through the tube is cooler, dryer and not as clean. In response to these changes, the body produces more mucus. Suctioning clears mucus from the tracheostomy tube and is essential for proper breathing. Also, secretions left in the tube could become contaminated and a chest infection could develop. Avoid suctioning too frequently as this could lead to more secretion buildup. Removing mucus from trach tube without suctioning
When to suctionSuctioning is important to prevent a mucus plug from blocking the tube and stopping the patient's breathing. Suctioning should be considered
The secretions should be white or clear. If they start to change color, (e.g. yellow, brown or green) this may be a sign of infection. If the changed color persists for more than three days or if it is difficult to keep the tracheostomy tube intact, call your surgeon's office. If there is blood in the secretions (it may look more pink than red), you should initially increase humidity and suction more gently. A Swedish or artificial nose (HME), which is a cap that can be attached to the tracheostomy tube, may help to maintain humidity. The cap contains a filter to prevent particles from entering the airway and maintains the patient's own humidity. Putting the patient in the bathroom with the door closed and shower on will increase the humidity immediately. If the patient coughs up or has bright red blood mucus suctioned, or if the patient develops a fever, call your surgeon's office immediately. How to suctionEquipment
Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. What is a priority intervention when performing oropharyngeal suctioning for a patient who is receiving oxygen by face mask *?What is a priority intervention when performing oropharyngeal suctioning for a patient who is receiving oxygen by face mask? Complete the suctioning process in 20 seconds or less. Keep the oxygen mask near the patient's face during the suctioning procedure.
What are important nursing interventions during tracheostomy care?Procedure. Clearly explain the procedure to the patient and their family/carer.. Perform hand hygiene.. Use a standard aseptic technique using non-touch technique.. Position the patient. ... . Perform hand hygiene and apply non-sterile gloves.. Remove fenestrated dressing from around stoma.. How can you evaluate the effectiveness of suctioning a patient's tracheostomy?After suctioning the patient, discard the used supplies, wash your hands, and assess the patient's vital signs and overall appearance (skin color, presence or absence of restlessness). Evaluate the effectiveness of suctioning by assessing breath sounds and checking the pulse oximeter.
What must the nurse do when performing tracheostomy care quizlet?While performing tracheostomy care, the nurse should do the following:. carefully remove the inner cannula and place it into normal saline solution using sterile technique.. suction the outer cannula, if necessary.. rinse the inner cannula with noramle saline after it has been cleaned.. |