During tracheostomy care for a homebound patient who has had her stoma for two weeks, the fenestrated trach tube becomes blocked with a mucous plug. The respiratory therapist cannot pass a suction catheter. The next best action is to remove the
A. inner cannula.
B. cotton tie.
C. entire trach tube.
D. subcutaneously trapped air.
Ans: A. A fenestrated tracheostomy tube is a special tube used to allow patients to speak. It functions by having an inner cannula that rests inside an outer tracheostomy tube. When this cannula becomes clogged, the most immediate remedy would be to remove the inner cannula, and thus the plug, to allow the patient to breathe through the outer cannula of the tracheostomy tube.
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