patient-unable
Tracheostomy
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 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 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 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 caregiver to call patient's doctor if patient have: fever or chills, redness, swelling, or pain that is getting worse. Bleeding or drainage from the hole.
Tracheostomy care Instructed patient patients with a tracheostomy have altered upper airway function and may have increased oral care requirements. Mouth care should assessed by the nurse caring for the patient.
Instructed patient contact your healthcare provider or physician immediately: if you have an irregular heart rate, if you feel increased pain or discomfort and if you have difficulty breathing and it is not relieved by your usual method of clearing secretions. Patient verbalized understanding.
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.
Instructed patient how to reinsert the inner cannula and securely lock it into place.
Instructed patient to place a sterile split sponge under the tube flanges to absorb secretions.