Topic: Tests & Procedures
This handout was written to answer some of the questions most often asked about tracheostomy (trach) care. Feel free to ask your doctor or nurse to go over any information you do not understand.
WHAT EQUIPMENT WILL I NEED TO DO TRACH CARE?
• Sterile cotton tip applicators
• Distilled water
• Hydrogen peroxide
• Small clean container
• Trach tube holders
• Split gauze pad (optional)
• Bag, mask, suction equipment, extra trach
• 2 clean wash clothes
HOW OFTEN DO I CLEAN AROUND THE TRACH STOMA?
You should clean around the trach stoma twice a day or more often as needed.
HOW SHOULD I DO THE TRACH CARE?
• Cut the trach holders to fit your child
• Use distilled water
• Dip the cotton tip applicators in the distilled water
• Clean around the stoma with the cotton tip applicators. Always start at the stoma site and clean outward. Never use the same swab more than once.
• If the secretions around the trach are difficult to remove, you may use hydrogen peroxide and distilled water mixed in a small cup (1:1) ratio.
HOW OFTEN SHOULD I CHANGE THE TRACH HOLDERS?
The trach holders should be changed once a day or more often as needed.
HOW DO I CHANGE THE HOLDERS?
• Secure the trach tube by holding it in place
• Remove old velcro trach holder from one side and attach new trach tube holder
• Repeat on other side
• Clean around neck using wash cloth with soap and water
• Dry the neck with a clean cloth
• Secure the velcro holders. One small finger should fit between the trach tube holders and the neck
WHEN SHOULD I CALL MY CHILD’S DOCTOR?
Call your child’s doctor immediately if:
• trach secretions are yellow, green, bloody, thicker than usual, or more than usual
• increase work of breathing, increased respiratory rate, retractions
• blue or pale skin color, in the mucus membranes or around the mouth/nose
• stoma site becomes red and/or has drainage
Derechos de autor(c) de The Children's Medical Center, ano 1999. Este material unicamente tiene fines educativos. No puede ser reproducido, distribuido ni modificado sin previa autorizacion de The Children's Medical Center of Dayton, One Children's Plaza, Dayton, Ohio, 45404-1815. Llame al 937-641-3666 para solicitar autorizacion o para obtener un juego maestro para copias. Para obtener mas informacion puede visitar www.childrensdayton.org (consulte la seccion de informacion legal).
La informacion contenida en este material es unicamente informacion de tipo general. No debe considerarse como completa. Para obtener mas informacion acerca de los complementos para leche materna, por favor pidala a su doctor.
The information contained in this handout is for general information only and should not be considered complete. For specific information about bathing your baby, please ask your doctor or nurse practitioner.
Additional information may be located in the Family Resource Center, 2nd floor, near the Outpatient Surgery Center. Hours of the center vary; please contact the Family Resource Center at 937-641-3700.
Copyright(c) The Children's Medical Center of Dayton. This material is for educational purposes only. It cannot be reproduced or distributed without permission from Dayton Children's.
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