How do you take care of a child with a tracheostomy?
Prevent infections in your child:
- Wash your hands.
- Clean your child’s trach equipment as directed.
- Use a trach cover over your child’s trach as directed.
- Clean the area around your child’s trach as directed.
- Keep your child’s mouth clean.
- Have your child take deep breaths and cough 10 times each hour.
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.
How do you take care of a tracheostomy?
Caring for Your Tracheostomy
- Suction your tracheostomy tube. This clears the secretions from your airway so it’s easier to breathe.
- Clean the suction catheter. This helps prevent infection.
- Replace the inner cannula.
- Clean your skin around your tracheostomy.
- Moisturize the air you breathe.
How often should a nurse perform tracheostomy care?
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.
How long should you suction for a child?
Do not suction too long! The maximum suction time should only be 15 seconds. After suctioning, re-oxygenate the patient.
How often should you suction a trach?
Suction the trach 3 to 4 times a day, or more if needed. For example, two of the times could be before you go to bed and when you wake up in the morning. You will need suction catheters, a suction machine, and a mirror.
How long do you suction a trach?
Cover the suction control vent with your thumb to start suctioning. Do not suction for more than 10 seconds each time. Turn or twist the suction catheter as it is taken out. Remove your thumb from the suction control vent if you feel the catheter pull during suctioning.
How often should a trach be cleaned?
two to three times per day
The tracheostomy inner cannula tube should be cleaned two to three times per day or more as needed. Please note that this only applies to reusable inner cannulas. Cleaning is needed more immediately after surgery and when there is a lot of mucus buildup.
Which action should the nurse take first when performing tracheostomy care?
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.
What are the 2 types of suctioning?
Nasal suction (suctioning in the nose) Oral suction (suctioning the mouth)
What is the best position for suctioning?
3. Position patient in semi-Fowler’s position with head turned to the side. This facilitates ease of suctioning. Unconscious patients should be in the lateral position.
How long do you suction a pediatric patient?
Do not suction longer than 5 to 10 seconds. Let your child rest for 15 to 20 seconds before suctioning again. If mucus is thick, lavage with 3 to 5 drops of normal saline into the nostril before suctioning.
When should a pediatric tracheostomy be performed?
The most common indication varies with the age of the patient. Children with complicated cardiopulmonary, craniofacial, or upper airway conditions were likely to undergo tracheostomy between the ages of 4 to 6 months, whereas patients with neurological disorders or trauma where more likely to receive a tracheostomy between the ages of 2 to 3 years.
What care is needed for a tracheostomy?
1) Adjust the wall suction to the appropriate level. 2) Explain the procedure to the client. 3) Open sterile packages and set up sterile field. 4) Auscultate the client’s lung sounds for evaluation of the intervention 5) Don sterile gloves. 6) Adjust the bed and position the client.
What to expect with a tracheostomy?
– You should be able to eat without problems. – If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt. – Drink plenty of fluids (unless your doctor tells you not to). – You may notice that your bowel movements are not regular right after your surgery.
What are indications for pediatric tracheotomy?
Abstract. Tracheostomy in a child demands critical pre-operative evaluation,deliberate family education,competent surgical technique,and multidisciplinary post-operative care.