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    Tracheostomy Care

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    Sreelekha
    Tracheostomy care involves cleaning the tracheostomy site and inner tube, and changing dressings around the site. It aims to maintain an open airway, prevent infection, facilitate healing, and promote comfort. The procedure requires assembling sterile supplies and changing inner tubes, dressings, and ties while ensuring the tracheostomy tube remains securely in place. Special considerations include frequency of care and proper cleaning techniques.

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    Tracheostomy Care

    Uploaded by

    Sreelekha
    107 views40 pages
    Tracheostomy care involves cleaning the tracheostomy site and inner tube, and changing dressings around the site. It aims to maintain an open airway, prevent infection, facilitate healing, and promote comfort. The procedure requires assembling sterile supplies and changing inner tubes, dressings, and ties while ensuring the tracheostomy tube remains securely in place. Special considerations include frequency of care and proper cleaning techniques.

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    Tracheostomy care involves cleaning the tracheostomy site and inner tube, and changing dressings around the site. It aims to maintain an open airway, prevent infection, facilitate healing, and promote comfort. The procedure requires assembling sterile supplies and changing inner tubes, dressings, and ties while ensuring the tracheostomy tube remains securely in place. Special considerations include frequency of care and proper cleaning techniques.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    107 views40 pages

    Tracheostomy Care

    Uploaded by

    Sreelekha
    Tracheostomy care involves cleaning the tracheostomy site and inner tube, and changing dressings around the site. It aims to maintain an open airway, prevent infection, facilitate healing, and promote comfort. The procedure requires assembling sterile supplies and changing inner tubes, dressings, and ties while ensuring the tracheostomy tube remains securely in place. Special considerations include frequency of care and proper cleaning techniques.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 40

    TRACHEOSTOMY CARE

    TRACHEOSTOMY
    DEFINITION

    Tracheostomy care includes changing a tracheostomy inner


    tube, cleaning tracheostomy site, and changing around the
    site.
    GOALS/ PURPOSES

     To maintain airway patency


     To prevent infection at tracheostomy site.
     To facilitate healing
     To promote comfort
     To assess the condition of ostomy.
    TYPES OF
    TRACHEOSTOMY TUBES
    STANDARD TRACHEOSTOMY TUBE
    SINGLE LUMEN TRACHEOSTOMY TUBE
    DOUBLE LUMEN TRACHEOSTOMY TUBE
    CUFFED TRACHEOSTOMY TUBE
    UNCUFFED TRACHEOSTOMY TUBE
    FENESTRATED TUBES
    EQUIPMENTS NEEDED

    A tracheostomy care kit containing;


     Small bowls/ Gallipots- 2
     Sterile towel
     Sterile nylon brush/ tube brush
     Sterile gauzes
     Sterile gloves- 1 pair
     Tracheostomy tie tapes
    Nylon brush/ Tube brush
    A clean tray containing;
    Normal saline
    Waterproof pad
    Sterile gloves- 1 pair
    Face mask/ Eye shield
    PROCEDURE
     Assess condition of stoma(redness, swelling, character of
    secretions, presence of purulence/ bleeding).
     Examine neck for subcutaneous emphysema evidenced by
    crepitus around the ostomy site.
     Explain procedure to the patient.
     Assist patient to a fowlers’ position and place waterproof
    pad on chest.
     Wash hands thoroughly.
     Assemble all equipments-
    a. Open the sterile tracheostomy kit, pour sterile normal
    saline in small bowls.
    b. Open other sterile supplies as needed including sterile
    applicators, suction kit and tracheostomy care kit.
    c. Put on face mask and eye shield.
     Do sterile gloves.
     Place sterile towel on patient’s chest.
     Unlock the inner cannula and remove it by gently pulling it
    out towards you in the line with its curvature.
     Place the inner cannula in the bowl with normal saline.
     Remove the soiled tracheostomy dressing, discard the
    dressing and gloves.
     Clean the flange of the tube using sterile applicators or
    gauze moistened with normal saline.
     Use each applicator once only.
     Clean the stoma tube with the gauze.
     Thoroughly rinse the cleaned area using gauze squares
    moistened with sterile normal saline.
     Dry the stoma tube with dry sterile gauze.
     A thin layer of antibiotic ointment may be applied to the
    stoma with a cotton swab.
     Cleaning the inner cannula.
     Remove the inner cannula from the soaking solution.
     Clean the lumen and entire cannula thoroughly using the
    brush.
     Rinse the cleaned cannula by rinsing it with sterile normal
    saline.
     Replace the inner cannula and secure it in place.
     Insert the inner cannula by grasping the outer.
     Lock the cannula in place by turning the lock into position.
     Apply sterile dressing.
     Open and refold a gauze dressing into a ‘V’ shape and place
    under the flange on the tracheostomy tube.
     Ensure that the tracheostomy tube is securely supported
    while applying dressing.
     Change the tracheostomy ties.
     Leave the soiled tape in place until the new one is applied.
     Grasp slit end of clean tape and pull it through opening on
    one side of the tracheostomy tube.
     Pull the other end of the tape securely through the slit end
    of the tracheostomy tube on the other side.
     Tie the tapes at the side to side of the neck.
     Leaving tape in place ensures that tube will not be expelled
    if patient coughs or moves.
     Document all relevant information in the chart.
    Tracheostomy care carried out
    Dressing change
    Observations
    SPECIAL CONSIDERATIONS
     Tracheostomy dressing should be done every 8 hours or
    whenever dressing is soiled.
     If disposable inner cannula is present, then replace the one
    that is inside with a new one.
     If only single lumen is present, clean the neck plate and
    tracheostomy site.
     Emphasize the importance of handwashing before
    performing tracheostomy care.
     Proper way on how to remove, change, and replace the
    inner cannula.
     Check and clean the tracheostomy stoma.
     Assess for symptoms of infection.

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