18 May 2012
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Nursing Intervention for Tracheostomy Client/Patient

Friday, May 18, 2012




The goals of tracheostomy care are to maintain the patency of the airway, prevent breakdown of the skin surrounding the site, and prevent infection. Sterile technique should be used during the procedure.

Nursing Intervention for Tracheostomy
  • Frequent hand washing
  • Maintain sterile technique when suctioning
  • Suction only when necessary
  • Keep obturator at bedside
  • Trach care to remove dried and crusted secretions from inner cannula
  • Contact physician
  • Apply pressure to site with petroleum gauze in and around tracheal opening
  • Prepare patient for surgery is indicated
  • Monitor vital signs
  • Assess sputum for color consistency, odor
  • Assess tracheal stoma for cardinal signs of infection,redness, edema, pain drainage
  • Administer antibiotics as ordered by physician
  • Replace trach tube using obturator
  • If unable to replace trach tube, call physician and resuscitation team as needed
References
1. Ignatavicius DD, Workman ML, Mishler MA. Medical surgical nursing: a nursing process approach. 2nd
ed. Philadelphia: Saunders, 1995.
2. Sigler, B. Nursing care of clients with upper airway disorders. In: Black JM, Matassarin-Jacobs E (eds).
Medical surgical nursing: clinical management for continuity
of care. 5th ed. Philadelphia: Saunders, 1997:pp. 1067-1103.
3. Tuori, J. Disorders of the larynx and tracheobronchial
tree. In: Burrell MJ, Gerlach M, Pless S (eds).
Adult nursing: acute and community care. 2nd ed.
Stamford, CT: Appleton & Lange, 1996: pp. 730-766.
4. Weilitz PB, Dettenmeier PA. Back to basics: test your
knowledge of tracheostomy tubes. American Journal
of Nursing 1994;94(2):46-50.
 
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