About
Surgical procedure performed ( tracheotomy) to bypass the upper airway with insertion of a tube to maintain ventilation.
Assess
Upper airway obstruction, stridor, inability to breathe
Complications
Bleeding, pneumothorax, airway obstruction, air embolism, aspiration, infection, fistula, nerve damage, dysphagia, tracheal ischemia, dilation
Diagnosis
- Ineffective airway clearance related to increased mucous secretions.
- Impaired verbal communication related to endotracheal tube.
- Risk for infection.
- Impaired gas exchange related to impaired airway.
Goals
- The client will maintain a patent airway.
- The client will have adequate oxygenation.
- The client will identify other ways to communicate if impaired.
Interventions
- Assess vitals, airway, pulse-oximetry, tolerance to procedure, ventilation requirements, suctioning requirements.
- Monitor respiratory status and lung sounds.
- Provide suctioning using sterile technique to remove secretions.
- Provide writing utensils and communication alternatives at bedside.
- Encourage client to use different ways to communicate if unable to verbally communicate.
- Monitor for infection and teach patient signs and symptoms to report indicating infection.
- Monitor cuff pressure every shift and maintain between 15 and 25 mm/hg or as ordered by physician.
- Implement aspiration precautions.
- Teach client techniques to manage trach at home.
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