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In This Section The upper airway warms, cleans and moistens the air we breathe. The trach tube bypasses these mechanisms, so that the air moving through the tube is cooler, dryer and not as clean. In response to these changes, the body produces more mucus. Suctioning clears mucus from the tracheostomy tube and is essential for proper breathing. Also, secretions left in the tube could become contaminated and a chest infection could develop. Avoid suctioning too frequently as this could lead to more secretion buildup. Removing mucus from trach tube without suctioning
When to suctionSuctioning is important to prevent a mucus plug from blocking the tube and stopping the patient's breathing. Suctioning should be considered
The secretions should be white or clear. If they start to change color, (e.g. yellow, brown or green) this may be a sign of infection. If the changed color persists for more than three days or if it is difficult to keep the tracheostomy tube intact, call your surgeon's office. If there is blood in the secretions (it may look more pink than red), you should initially increase humidity and suction more gently. A Swedish or artificial nose (HME), which is a cap that can be attached to the tracheostomy tube, may help to maintain humidity. The cap contains a filter to prevent particles from entering the airway and maintains the patient's own humidity. Putting the patient in the bathroom with the door closed and shower on will increase the humidity immediately. If the patient coughs up or has bright red blood mucus suctioned, or if the patient develops a fever, call your surgeon's office immediately. How to suctionEquipment
Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. What are nursing interventions for tracheostomy suctioning?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.. When suctioning a patient with a tracheostomy tube the nurse should?Tips on Tracheostomy Suctioning
Always wear gloves when suctioning so that germs and infections are not transferred. Never suction for lengths of time longer than 5 or 10 seconds. Use saline solution in the trach to loosen secretions and make the suction process easier.
What do you do when you suction a tracheostomy?Steps to suction a tracheostomy
Dip the suction catheter tip into the clean tap water. Take 4 to 5 deep breaths. Gently put the suction catheter into the tracheostomy tube as far as you can without forcing it. Do not cover the suction control vent with your thumb while putting the catheter into your tracheostomy tube.
Which nursing action is appropriate when suctioning the secretions of a client with a tracheostomy quizlet?Which nursing action is appropriate when suctioning the secretions of a client with a tracheostomy? Initiate suction as the catheter is being withdrawn. A client has a tracheostomy tube attached to a tracheostomy collar for the delivery of humidified oxygen.
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