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Tracheostomy Care: Presented by Sital B. Sharma M SC Nursing Student College of Nursing. N.B.M.C.H
Tracheostomy Care: Presented by Sital B. Sharma M SC Nursing Student College of Nursing. N.B.M.C.H
Tracheostomy Care: Presented by Sital B. Sharma M SC Nursing Student College of Nursing. N.B.M.C.H
• Facilitating communication
• Preventing complication
ASSESSMENT
• Respiratory status (ease of breathing, respiratory
rate, rhythm, depth, lung sounds, and oxygen
saturation level)
• Pulse rate.
• Secretions from the tracheostomy site (character
and amount)
• Presence of drainage on tracheostomy dressing
or ties.
• Condition of stoma (Redness, swelling , purulent
discharge or odour)
ASPECTS OF TRACHEOSTOMY CARE
1. Humidification
2. Care of inner-cannula
3. Stoma care
4. Suctioning
HUMIDIFICATION
• If patient is on oxygen therapy administration
of moist oxygen is to be done to prevent thick
mucous and crust formation.
• Adequate intake of fluid should be advised to
keep the mucous thin and enhance secretion.
CARE OF INNER CANNULA
• Strict sterile technique should be followed.
• Care of inner cannula should be done two to
three times a day or more depending on the
need of the patient.
• While removing inner cannula, ensure that
outer cannula is not removed.
….care of inner cannula
• Keep the inner cannula in the solution of sodi-
bicarbonate or hydrogen peroxide and then
clean the cannula with a brush. Then wash it
in clean and sterile water.
• Do suction of the outer cannula as well.
• After examining the inner cannula, insert it
again into the outer cannula and clip it
properly.
SUCTIONING
• Initially a tracheostomy may need to be
suctioned and cleaned as often as every 1 to 2
hours. After the initial inflammatory response
subsides, tracheostomy care may only need to be
done once or twice a day, depending on the
client’s need.
• For wall suction unit a pressure setting of about
100 – 120 mm Hg is normally used for adults and
50 - 95 mm Hg , is used for infants and children.
……suctioning