Tracheostomy brushes (to clean tracheostomy tube) Jar to soak inner cannula (if applicable) How to suctionĬlean suction catheter (Make sure you have the correct size) 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. Putting the patient in the bathroom with the door closed and shower on will increase the humidity immediately. The cap contains a filter to prevent particles from entering the airway and maintains the patient's own humidity. A Swedish or artificial nose (HME), which is a cap that can be attached to the tracheostomy tube, may help to maintain humidity. If there is blood in the secretions (it may look more pink than red), you should initially increase humidity and suction more gently. 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. yellow, brown or green) this may be a sign of infection. When there is an increased respiratory rate (working hard to breathe).In the morning when the patient first wakes up.Any time the patient feels or hears mucus rattling in the tube or airway.Suctioning is important to prevent a mucus plug from blocking the tube and stopping the patient's breathing. Continue trying to cough, instill saline, and suction until breathing is normal or help arrives.Remove the entire trach tube and try to place the spare tube.Call 911 if breathing is still not normal after doing all of the above steps.Squirt sterile normal saline solutions (approximately 5cc) into the trach tube to help clear the mucus and cough again.Catch the mucus from the tube, not from the nose and mouth. Removing mucus from trach tube without suctioning Avoid suctioning too frequently as this could lead to more secretion buildup. Also, secretions left in the tube could become contaminated and a chest infection could develop. Suctioning clears mucus from the tracheostomy tube and is essential for proper breathing. In response to these changes, the body produces more mucus. The trach tube bypasses these mechanisms, so that the air moving through the tube is cooler, dryer and not as clean. The upper airway warms, cleans and moistens the air we breathe.
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