What are 5 nursing considerations when caring for a patient with a tracheostomy?
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.
Which nursing action is essential during tracheal suctioning?
Which nursing action is essential during tracheal suctioning? 2. One hundred percent oxygen is given before and after suctioning to help prevent hypoxia. Petroleum-based lubricants are not water-soluble and should never be used near an airway.
What should be at the bedside of a patient with a tracheostomy?
All tracheostomy patients must have suction equipment and emergency supplies at the bedside. Emergency equipment is usually in a clear bag on an IV pole attached to the patient’s bed. A tracheostomy patient must be assessed every two hours to determine if suctioning is required.
What are the three main complications of tracheal suctioning?
Complications and Risks of Tracheostomy
- Bleeding.
- Air trapped around the lungs (pneumothorax)
- Air trapped in the deeper layers of the chest(pneumomediastinum)
- Air trapped underneath the skin around the tracheostomy (subcutaneous emphysema)
- Damage to the swallowing tube (esophagus)
Which action should the nurse take first when performing tracheostomy care?
Which nursing action must be taken first? The first nursing action for a patient following an airway procedure is to assess the patient’s respiratory status; this requires auscultation of the lungs. Suction is not needed if the lungs are clear to auscultation.
Can a tracheal tube be used as a suction catheter?
A size 8 or 10 FG tube may be used to suction the oropharynx. Observe infant’s post-suction physiological parameters. Use a small amount of sterile water if needed to clear secretions from suction tubing. Turn off vacuum pressure.
What emergency equipment should be at the bedside during tracheostomy and nasal tracheal NT suctioning?
Sterile disposable catheters and sterile gloves are to be used for each suctioning. All patients requiring an artificial airway will have a manual resuscitator and mask attached to O2 flow meter at wall 100% FiO2 set at 12-15 lpm at the bedside at all times.
What emergency equipment do you need for tracheostomy?
Oxygen* Spare tracheostomy tubes (one of the same size and one a size smaller) usually the same type but must be a type that can easily be inserted in an emergency situation. Tracheal dilators* Tracheostomy disconnection wedge.
Why do nurses provide tracheostomy care?
Nurses provide tracheostomy care for clients with new or recent tracheostomy to maintain patency of the tube and minimize the risk for infection (since the inhaled air by the client is no longer filtered by the upper airways).
What supplies are needed for tracheostomy care?
Tracheostomy Supplies
- Aspirators.
- Heat Moisture Exchanger HME.
- Suction Canisters.
- Suction Catheters.
- Suction Tubing.
- Yankauer Suction Tips.
- Trach Cleaning Supplies.
- Trach Collars.
What does a tug in the trachea mean?
Tracheal tug: Seen during periods of inspiration as a “depression” or “sinking in” of the skin at the site covering the trachea, immediately above the sternum. An observable tracheal tug is indicative of respiratory distress and is consistent with conditions resulting in severe airway obstruction.
Is the tracheal tug a sign of an aneurysm?
As a medical student we were taught that the tracheal tug is a diagnostic sign for the aneurysm of the arch of the aorta. This sign is very difficult to learn and to elicit.
What causes tracheal tug in croup?
A tracheal tug is most commonly seen in children suffering severe croup, however it may also be associated with inhalation of a foreign object and in infants with bronchiolitis. – Sternal recession: Seen most commonly in infants (but not exclusively), sternal recession
What are the signs and symptoms of tracheostomy in children with asthma?
Within one minute of administration there was return of good strength respiratory effort (with tracheal tug and paradoxical chest wall movement) and some non-purposeful limb movement was seen. This may manifest as tracheal tug and sterno-costal recession as the child works harder to breathe, and admission to hospital should be considered.