Which information is appropriate to include in the care plan for a family of a child with a tracheostomy?
a. Suction of the tracheostomy every 2 to 4 hours or as needed
b. Application of powder around the stoma to decrease irritation
c. Suction catheter insertion limited to less than 30 seconds
d. Hygiene that includes showers, not baths
A
To maintain a patent airway in a child with a tracheostomy, assessing respiratory status and suctioning every 2 to 4 hours or as needed using standard precautions are important interventions to teach families. Talc powder should be avoided because of the risk of inhalation injury from breathing the powder particles. Catheter insertion for suctioning should be less than 5 seconds to prevent hypoxia. The family should be taught to avoid getting water in the tracheostomy during bath time. Showers should be discouraged.
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