Coughing exercises one hour before meals and deep breathing one hour after meals.
Forceful coughing as many times as tolerated.
Huff coughing every two hours or as needed.
Diaphragmatic and pursed lip breathing 5 to 10 times. four times a day
Tells the client to raise two fingers to indicate pain or distress.
Changes twill tape holding the tracheostomy and place.
Cleans the incision site.
Checks the tightness of the ties and knot
Lubricate the suction catheter with petroleum jelly before and between insertion.
Apply suction intermittently while inserting the suction catheter.
Rotate the catheter while applying suction.
Hyper oxygenate with 100% oxygen for 30 minutes before and after suctioning
“I should breathe out as fast and as hard as possible into the device.”
“I should inhale slowly and steadily to keep the balls up.”
“I should use the device three times a day. after meals.”
“the entire device should be washed thoroughly in sudsy water once a week.”
Assist the client to ambulate back to bed.
Reconnect to the tube to the water seal.
Assess the clients lung sounds with a stethoscope.
Have the client cough forcibly several times.
A fractured rib.
A tumor of the medulla.
Help the client to cough.
Prevent respiratory infection.
Decrease inflammation in the airways.
Percussion and postural drainage should be done before lunch.
The order should be coughing. percussion. positioning. and then suctioning.
A good time to perform percussion and postural drainage is in the morning after breakfast when the client is well rested.
Percussion and postural drainage should always be preceded by three minutes of 100% oxygen.
Supplemental oxygen use will be reduced.
Inspiratory volume will be increased.
Sputum will be expectorated.
Coughing will be stimulated.