PERAWATAN TRAKEOSTOMI

Summary

This instructional video focuses on tracheostomy care, specifically for a patient named Tommy. It outlines the steps for cleaning and maintaining a tracheostomy, including monitoring respiratory status, performing suctioning to clear secretions, and changing dressings around the stoma. Emphasizing the importance of hygiene and patient comfort, the video details the frequency of care, preparation procedures, and techniques for ensuring proper ventilation. The session concludes with a reminder of the critical nature of these practices in preventing infections and promoting patient well-being.

Takeaways

• 😀 Indications for tracheostomy care include respiratory obstruction, neurological issues, and severe trauma.
• 😀 The primary goal of tracheostomy care is to clear secretions and prevent infections in the stoma area.
• 😀 Hand hygiene is crucial; wash hands thoroughly before starting the procedure.
• 😀 Use sterile gloves and a sterile drape when caring for the tracheostomy site.
• 😀 Auscultation of the lungs helps assess the patient’s respiratory status before suctioning.
• 😀 Oxygen saturation should be monitored; if it falls below 90%, provide supplemental oxygen.
• 😀 Use a sterile suction catheter to gently remove secretions from the tracheostomy.
• 😀 Rinse the suction catheter with sterile water or saline after use to maintain cleanliness.
• 😀 Change the dressing around the tracheostomy site regularly to prevent irritation and infection.
• 😀 If redness or inflammation is observed, apply a topical ointment to soothe the area.

Q & A

What are the primary indications for performing tracheostomy care?

The main indications for tracheostomy care include blockage in the respiratory tract, neurological disturbances, and severe trauma to the patient.

What is the primary goal of performing tracheostomy care?

The primary goal is to clean accumulated secretions in the stoma area to prevent infection.

How often should tracheostomy care be performed?

Tracheostomy care should be performed at least twice a day or as needed, depending on the patient's condition.

What are the initial steps to prepare for tracheostomy care?

Initial steps include washing hands thoroughly, wearing clean gloves, and setting up the work area with sterile equipment.

How is the patient's respiratory status assessed during tracheostomy care?

The patient's respiratory status is assessed by auscultating the lungs to check for respiratory sounds.

What should be done if the patient's oxygen saturation falls below 90%?

If the oxygen saturation is below 90%, assistance should be provided using an ambu bag at a rate of 10-12 breaths per minute.

What technique is used for suctioning during tracheostomy care?

The suction catheter is gently inserted until a cough reflex is triggered, then withdrawn while rotating it 360 degrees.

What should be done after suctioning the tracheostomy tube?

After suctioning, the oxygen saturation should be re-checked, and the oral area should be cleaned. The oxygen cannula should also be replaced.

What cleaning solution is recommended for the tracheostomy area?

The tracheostomy area should be cleaned using a saline solution (NaCl) to maintain sterility.

What should be done if there is redness around the tracheostomy site?

If redness is observed around the tracheostomy site, ointment can be applied to reduce inflammation.