Tracheostomy Care: Submitted By: Asentista, Jan Alrick R. 3NRS-1

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TRACHEOSTOMY

CARE

Submitted By:
Asentista , Jan Alrick R.
3NRS-1

Tracheostomy care
A tracheostomy is surgery to make a hole in your neck that goes into your windpipe. If
you need it for just a short time, it will be closed later. Some people need the hole for
the rest of their life.
The hole is needed when your airway is blocked or for some conditions that make it hard
for you to breathe. You may need a tracheostomy if you are on a breathing machine
(ventilator) for a long time.
After the hole is made, a plastic tube is placed in the hole to keep it open. A ribbon is
tied around the neck to keep the tube in place.
The surgery is done in the hospital. Before you leave the hospital you should be able to:

Clean, replace, and suction the tube

Keep the air you breathe moist

Clean the hole with water and mild soap or hydrogen peroxide

Change the dressing around the hole


DO NOT do strenuous activity or hard exercise for 6 weeks after surgery. After your
surgery, you may not be able to speak. Ask your doctor for a referral to a speech
therapist to help you learn to talk with your tracheostomy. This is usually possible once
your condition improves.

Self-care
You will have a small amount of mucus around the tube. This is normal. The hole in your
neck should be pink and painless.
It is important to keep the tube free of thick mucus. You should always carry an extra
tube with you in case your tube gets plugged. Once you put in the new tube, clean the
old one and keep it with you as your extra tube.
When you cough, have a tissue or cloth ready to catch the mucus coming from your
tube.

Your nose will no longer keep the air you breathe moist. Talk with your doctor about how
to keep the air you breathe moist and how to prevent plugs in your tube.
Some common ways to keep the air you breathe moist are:

Putting a wet gauze or cloth over the outside of your tube. Keep it moist.

Using a humidifier in your home when the heater is on and the air is dry
A few drops of salt water (saline) will loosen a plug of thick mucus. Put a few drops in
your tube and windpipe, then take a deep breath and cough to help bring up the mucus.
Protect the hole in your neck with a cloth or tracheostomy cover when you go outside.
These covers can also help keep your clothes clean from mucus and make your
breathing sounds quieter.
DO NOT breathe in water, food, powder, or dust. When you take a shower, cover the
hole with a tracheostomy cover. You will not be able to go swimming.
To speak, you will need to cover the hole with your finger, a cap, or a speaking valve.
Sometimes you can cap the tube. Then you might be able to speak normally and
breathe through your nose and mouth.

Caring for Your Tracheostomy


Once the hole in your neck is not sore from the surgery, clean the hole with a cotton
swab or a cotton ball at least once a day to prevent infection.
The bandage (gauze dressing) between your tube and neck helps catch mucus. It also
keeps your tube from rubbing on your neck. Change the bandage when it is dirty, at
least once a day.
Change the ribbons (trach ties) that keep your tube in place if they get dirty. Make sure
you hold the tube in place when you change the ribbon. Be sure you can fit 2 fingers
under the ribbon to make sure it is not too tight.

When to Call the Doctor


Call your doctor if you have:

Fever or chills

Redness, swelling, or pain that is getting worse

Bleeding or drainage from the hole

Cough or shortness of breath, even after you suction your tube

Nausea or vomiting

Any new or unusual symptoms

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