<ul><li>Module Title: </li></ul><ul><li>Tracheostomy Care </li></ul><ul><li>**Successful completion of the “Sterile Techni...
Trach Care <ul><li>Definition of Tracheotomy: </li></ul><ul><li>A surgical procedure to create an opening into the neck th...
Trach Care <ul><li>Definition of Tracheostomy Care: </li></ul><ul><li>Sterile Procedure </li></ul><ul><li>Performed only b...
Trach Care <ul><li>3 Types of Tracheostomy Tubes </li></ul><ul><li>Disposable/non-disposable </li></ul><ul><li>Single cann...
Trach Care <ul><li>Possible reasons for needing a Trach: </li></ul><ul><li>Neuromuscular diseases paralyzing or weakening ...
Trach Care <ul><li>Disposable/non-disposable  Trach Tubes </li></ul><ul><li>Both will use a face plate held in place with ...
Trach Care <ul><li>Single Cannula Trach’s  consist of the outer cannula which is attached to the face plate, and an obtura...
 
Trach Care <ul><li>Reporting and Recording: </li></ul><ul><li>Vital Signs-should be monitored before and after the procedu...
 
 
 
 
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Na Ii Ppt Module 6

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Na Ii Ppt Module 6

  1. 1. <ul><li>Module Title: </li></ul><ul><li>Tracheostomy Care </li></ul><ul><li>**Successful completion of the “Sterile Technique” module is required prior to this module.** </li></ul>
  2. 2. Trach Care <ul><li>Definition of Tracheotomy: </li></ul><ul><li>A surgical procedure to create an opening into the neck through which to breathe. </li></ul><ul><li>Performed for airway obstruction, which may have many causes </li></ul><ul><li>Definition of Tracheostomy: </li></ul><ul><li>The opening into the airway </li></ul><ul><li>Definition of the Stoma: </li></ul><ul><li>The opening on the skin surface </li></ul><ul><li>Definition of the Cannula: </li></ul><ul><li>An indwelling tube inserted through the stoma to maintain patency </li></ul>
  3. 3. Trach Care <ul><li>Definition of Tracheostomy Care: </li></ul><ul><li>Sterile Procedure </li></ul><ul><li>Performed only by RN’s in most facilities </li></ul><ul><li>Done to keep the stoma and cannula clean and free from obstruction </li></ul><ul><li>Done to prevent skin irritation and breakdown </li></ul><ul><li>Done to prevent water and solid foreign matter from entering the lungs </li></ul><ul><li>Done to prevent infection </li></ul><ul><li>May include suctioning of the airway </li></ul>
  4. 4. Trach Care <ul><li>3 Types of Tracheostomy Tubes </li></ul><ul><li>Disposable/non-disposable </li></ul><ul><li>Single cannula </li></ul><ul><li>Double cannula </li></ul>
  5. 5. Trach Care <ul><li>Possible reasons for needing a Trach: </li></ul><ul><li>Neuromuscular diseases paralyzing or weakening chest muscles and diaphragm </li></ul><ul><li>Aspiration related to muscle or sensory problems in the throat </li></ul><ul><li>Fracture of cervical vertebrae with spinal cord injury </li></ul><ul><li>Long-term unconsciousness or coma </li></ul><ul><li>Disorders of respiratory control such as Congenital Central Hypoventilation or Central Apnea </li></ul><ul><li>Facial surgery and facial burns </li></ul><ul><li>Anaphylaxis (severe allergic reaction) </li></ul>
  6. 6. Trach Care <ul><li>Disposable/non-disposable Trach Tubes </li></ul><ul><li>Both will use a face plate held in place with ties around the neck </li></ul><ul><li>The inner cannula is the disposable/non-disposable piece </li></ul><ul><li>After removing the inner cannula, the disposable cannula will be disposed of and a new cannula will be inserted; the non-disposable cannula will be cleaned with H2O2, rinsed and re-inserted into the face plate </li></ul>
  7. 7. Trach Care <ul><li>Single Cannula Trach’s consist of the outer cannula which is attached to the face plate, and an obturator </li></ul><ul><li>The main parts of a double cannula tracheostomy tube are the outer tube (or cannula), the inner tube (or cannula) and the obturator. The </li></ul>
  8. 9. Trach Care <ul><li>Reporting and Recording: </li></ul><ul><li>Vital Signs-should be monitored before and after the procedure and reported to the nurse if noted not within normal limits </li></ul><ul><li>Skin Color-if the skin is noted to be taking on a blue tint (cyanosis) or red color due to uncontrolled coughing, this should be reported to the RN immediately </li></ul><ul><li>Patient Response—if uncontrolled coughing, apnea, dyspnea, or short of breath- report immediately to the RN </li></ul>
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