Caring for a throat piercing patient (Tracheostomy) at home
Caring for pharyngeal patients at home It is a care that requires understanding and care that requires special attention. In the previous article, we have discussed the techniques for selecting masks for ventilators in the initial stages.
In this article, we will detail how to take care of a tracheal patient at home, including choosing a ventilator that is suitable for a tracheal patient.
What is a Throat Piercing (Tracheostomy)?
Throat puncture (Tracheostomy) is the opening of the upper respiratory tract in patients with obstructed upper airway conditions until unable to use nose or mouth to breathe Instead, doctors have to relocate breathing by creating a path between the trachea and the skin at the front of the neck, just below the larynx.
For the relief of obstruction in the upper respiratory tract or in sputum care and prevention of aspiration in patients on mechanical ventilation for a long time or in patients who are unable to cough up large amounts of sputum on their own.
What types of patients should have a neck piercing?
A throat aspiration is performed in patients who have a condition that blocks the airway so that they are unable to breathe on their own. whether it is acute or chronic including unconscious patients Paralyzed patients and bedridden patients who need to be intubated for a long time until causing a breakdown in the larynx area
Caring for pharyngeal patients at home
During the first week after throat piercing Your doctor will monitor your symptoms closely. Check to see if there are any abnormal symptoms. Because this is the period where the pipe is most prone to dislodging easily. It is also a period that must pay great attention to cleanliness. After 7 days or 1 week, the patient can go back for treatment at home.
Throat piercings are generally performed for patients who need a ventilator to survive at home. Because neck piercings can be treated more easily. And reduce the risk of slippage more than that.
How to take care of a throat piercing patient at home
- Wash your hands before and after caring for a patient.
- Use rubbing alcohol to clean joints.
- Position the patient to breathe easily and turn the patient every 2 hours.
- Keep the tracheal tube in place.
- Listen to the sound of the ventilator working.
- Be sure to observe the symptoms. potential
If you find any of the following abnormal symptoms, you should see a doctor immediately, whether
- Broken tracheal tube can be observed from Patients who can pronounce, during exhalation do not see mist coming up through the tracheal tubes, patients are restless, etc.
- The inner tube is missing or the tube cannot be inserted.
- Difficulty breathing
- having shortness of breath
- signs of infection, pain, swelling, redness, or pus around the throat piercing
- Bleeding from the bronchial tubes
What type of ventilator can be used for a tracheal patient?
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The patient has had a throat swab for treatment for 5-6 months and has been coughing a lot all day with phlegm and can't lie down. What is the solution?
It is recommended to increase the humidity of the air that the patient breathes. This is because the mucus will reduce its stickiness and not get stuck in the throat. If oxygen or a ventilator is provided, an additional humidifier can be installed. In addition, try to suck up mucus more often. Please consult your patient's doctor before making any changes. Because the doctor will know more details and solutions that are suitable for each patient's condition and symptoms than me.
Dad had the piercing for about 14-15 days, coughing all the time, especially at night, coughing all night with a lot of phlegm. Even after sucking up the mucus, is this normal? The patient can eat and walk normally.
If the patient has a tracheotomy, there is a lot of mucus causing him to cough all the time. This may be because the mucus is thick and sticky, causing irritation. It is recommended to increase the humidity in the air to reduce the stickiness of mucus. If using a ventilator or providing oxygen, it is recommended to have a humidifier or provide air through a water bottle. Or if you do not use such a machine, it is recommended to use an air humidifier. Or try sleeping in a room without air conditioning. However, before increasing the humidity as mentioned above, you should always consult a doctor first.
Do patients with a tracheotomy need to be given oxygen all the time?
Providing oxygen to patients with a tracheotomy depends on the discretion of the treating doctor. Whether it is necessary to give or not If given, how much quantity is required? And for how long do you use it?
Patients with a neck piercing should once they have healed (approximately 2 years) to be sutured closed or allowed to close on their own.
It depends on the doctor in charge of the matter.
Someone who has had a neck piercing and has a deep dent in the neck, can it be fixed to come back? His voice was hoarse as well.
It is advisable to consult with the doctor in charge of the patient. Usually, most leave it that way. But if there are other problems with the doctor may refer it to the surgeon to look at it for me
Is it normal for a bed-ridden patient to cough with sputum and saliva?
If you want to make the patient as comfortable as possible, they shouldn't have it. Advise the patient to suck sputum more often. And if using a ventilator or giving oxygen as well, a humidifier bottle should also be used. to reduce phlegm or to soften phlegm
That is, the throat piercing patient eats normal food, cleans the pipes in the morning and evening. but breath smells What is it from?
It may be caused by the smell of sputum that remains in the respiratory tract. Try using a phlegm suction machine for the patient and see if the smell disappears or not.
Patient after tracheotomy Insert a feeding tube through the nose How many days does it take? To be able to eat food by mouth What must be considered?
You must have the doctor close your throat before you can return to eating food by mouth. Please consult your treating doctor who will determine when the tracheostomy tube can be closed. This will depend on the patient's symptoms or disease.
Patients with pharyngitis tend to have their inner tubes removed for a long time because they say they breathe more easily, are more comfortable, and cough less. Can I do this and fry the inner tube for a long time like this? And what are the consequences? Please help, the patient is very stubborn.
The tracheal tube should not be taken in and out often because it may be at risk of infection. Try to explain to the patient. And even if the doctor uses a ventilator as well, it should not be removed often. But should change the set of pipes to a new one or take it to sterilize according to the period recommended by the doctor.
The balloon is attached from the drilled hole. There is usually a lot of wind. If water enters the balloon almost full What should I do?
The patient uses bi pap.
Consult with the doctor who takes care of the patient at all. It's best.