Nursing care of patients after tracheotomy.doc

Nursing care of patients after tracheotomy [Keywords:] tracheotomy; Care Tracheotomy as traumatic airway, is to save patients Intensive measures. In order to maintain airway patency, prevention of postoperative complications, so that patient safety through the dangerous period, good post-operative care is essential. Operation sterile operating procedures must be strictly followed, so that wards to maintain a certain temperature and humidity, keep the air fresh, regular air disinfection, good ultrasonic atomizing inhalation, oral care, timely suction to maintain airway patency, fully embodies the third of seven treatment The importance of sub-care. Tracheostomy ward requirements 1 The patients were placed in a quiet, clean, fresh air indoors disease. Room temperature 18 ~ 20 , humidity 50% to 70%. For indoor air disinfection, ultraviolet disinfection using 2 times a day, mop stationary use, on the tube cut open the patient, should be strictly controlled access, access by wearing gowns, masks, hats, the implementation of protective isolation of patients. regular indoor air culture and sputum culture. 2 within 24h after tracheotomy care Note whether the bleeding wound and the casing, with or without subcutaneous emphysema, pneumothorax, regularly measuring temperature, pulse, respiration, blood pressure, timely reporting of any abnormal medical treatment. 3 to maintain airway patency Time suction, suction in strict aseptic technique, action should be gentle, every 15s, such as the higher number of sputum, 3 ~ 5min after a relapse. Suck pure oxygen before suctioning every 3min, to improve the suction caused by hypoxia. sputum aspiration is not easy when the viscosity can be prescribed normal saline 20ml, amikacin 0.2g, chymotrypsin mixture intratracheal 4000U 3 to 5 drops of each, or compliance with normal saline 20ml, amikacin 0.2g, chymotrypsin 4000U inhalation 2 to 4 times a day to dilute sputum, mucus discharge in order to facilitate the p