Even if there is no problem, aspirate every 3 hours at the latest.
Aspirate if its saturation (SpO2) decreases, wheezing increases, secretion increases, and discoloration (bruising, ringing) occurs in the body.
Wash your hands, put on your gloves.
Use each glove only once.
Use each neclaton only once.
Make the aspirate from bottom to top.(Treceostomy, mouth, nose)
After attaching the nelaton, do not touch the tip anywhere.
Squeeze one SF in two aspirates.
Connect the ventilator after squeezing SF, wait for 5 seconds.
Clamp the nelatone as it enters. (if not, it will stick and irritate.)
Open clamp after advancing.
Turn the nelatone as it goes up.
Control the saturation and pulse throughout the aspirating process. Make sure that the saturation does not fall below 80.
If you need to continue with aspirating, connect the ventilator.
When the saturation is 95, continue the process.
Treceostomy aspirate should not be longer than 20 seconds.
Clean nelatone, aspirate from mouth.
Do not go up to the throat, it can cause nausea and vomiting.
If the nose is dry, squeeze out SF, aspirate.
Clean the hose with boiled chilled drinking water, throw away the nelatone.
Empty the aspirating bucket frequently.If possible, it can be cleaned after every aspiration to avoid infection.)
What to Do in an Emergency
Don't panic.
Call 112.
Write down your home address where you can easily find it.
If Pulse Drops With Saturation
Cut the formula.
Aspirate.
Ambulate
If its saturation does not rise and the pulse does not exceed to 60, begin CPR (heart massage).
Lay the child on his back on a hard floor with his chin facing the ceiling.
Draw an imaginary line from the nipples and apply it with two thumbs under the junction of these two lines. (It would be more accurate to watch from the video.)
Press 3 times so that it will go in 1/3 ratio, ambulate 1 time.
Do not continue the massage while ambulating.
Continue until his pulse rises.
Do it until the 112 arrives.
If the Spigot Drops
When its saturation falls, If it does not increase despite aspirating,
If no one comes to Nelatone,
If there is bruising on his lips and nails, it may be that there is a plug. 1. Squeeze SF. 2. Ambulate the treceostomy. 3. Aspirate again. 4. Move swiftly without panicking.
Ambulating
Keep the ambu easily accessible.
Keep 1 ambu in the hospital bag.
Check to see if the ambu is burst or not.
In an emergency, call 112 without ambulating.
If the gag pops out, if its saturation does not rise to the 90s after aspirating, ambulate it.
If the cannula is removed and you cannot insert it, cover the tracheostomy hole with a sponge and ambulate orally.
Oral Ambulating
Inflate the Ambu mask with the syringe.
Lie the child on his back, position him with his chin facing the ceiling.
Connect the oxygen to the ambu.
Make sure the balloon is inflated.
Set the Ambu pressure to the highest.
Place the mask so that it covers the mouth and nose.
Press from the mouth and nose so that there is no gap.
Ambulate as 1-2-3 frequently.
Ambulating from Tracheostomy
Connect the ambu to oxygen.
Make sure the balloon is inflated.
Bring the Ambu pressure to medium value.
Attach the ambu to the cannula.
Ambulate as 1-2-3 frequently.
After the ambulating is over, connect the oxygen to the ventilator.
Tracheostomy Care
Maintain it twice a day.
Wash your hands, wear gloves.
Take the sponge, check for green or bad colored flow.
If there is no problem, pour batikon to sterile sponge.
Do not touch the spounge with the mouth of the batikon while pouring the batikon.
Do not touch the sponge with batikon anywhere. If you do, prepare a new one.
While one person holds the cannula, turn the sponge with batikon 1 full clockwise around the cannula. Do not touch the dirty sponge anywhere else on the patient after cleaning.
Dry around the cannula with a clean sponge. Being moist can cause infection. • If there is any remaining thread, clean it with forceps.
Place the new sponge.
To change the neck tie, cut the gauze.You can also use a ready-made neck tie.)
If there is a blushing place on your neck, apply cream.
Place the tie, leaving one finger space to the left and right.
Clean the scissors and forceps you used.
Gastrostomy Maintenance
Maintain it twice a day.
Wash your hands, wear gloves.
Take the sponge, check for green or bad colored flow.
If there is no problem, pour batikon to sterile sponge.
Do not touch the spounge with the mouth of the batikon while pouring the batikon.
Do not touch the sponge with batikon anywhere. If you do, prepare a new one.
Turn the sponge with batikon 1 full clockwise, around the peg. Do not touch the dirty sponge anywhere else on the patient after cleaning.
Dry around the peg with a clean sponge. Being moist can cause infection.
• If there is any remaining thread, clean it with forceps.
Place the new sponge.
Clean the scissors and forceps you used.
General Maintenance
Clean the peg hose twice a day.
When you give medicine, give water afterwards.
Clean the inside of the mouth with a swab twice a day by adding baking soda to boiled chilled drinking water.
To prevent pressure sores, change positions every 2 hours at the latest.
Do postural drainage frequently. You can use the ambu mouthpiece as well as hands.
Check the water of the humidifier frequently.
Clean the filters of the ventilator and concentrator.
Change food bags daily.
Remember to bleed the air in the tubing when you put on a new set or add food.
Against power failure, keep a flashlight easily accessible
