Do tracheostomy patients have to change from nasogastric feeding to stuttering
Whether tracheostomy patients need to change from nasogastric feeding to stuttering depends on their state of consciousness.
Tracheotomy, or tracheotomy, is a common operation to relieve dyspnea caused by laryngeal origin, respiratory dysfunction or retention of secretions in the lower respiratory tract. For patients after tracheostomy, whether it is necessary to change from nasogastric feeding to stuttering mainly depends on whether the patient is conscious.
1. Conscious patients
For tracheostomy patients who are conscious, they can gradually transition from nasogastric feeding to stuttering. Before initiating stuttering, it should be ensured that the patient is able to swallow without risk of aspiration. Such patients can start with liquid food, such as millet porridge, egg soup, etc., and gradually transition to semi-liquid and soft food. When choosing food, avoid foods that are too sticky or have too large particles to reduce the risk of aspiration.
2. Patients with unconsciousness
For tracheostomy patients who are unconscious or comatose, it is not recommended to change their stuttering. Because these patients cannot effectively control their swallowing movements, they are prone to aspiration, leading to serious consequences such as choking, aspiration pneumonia and even suffocation. In this case, nasogastric feeding is a safer and more effective way of nutritional support.
3. Drug use and precautions
In the care of tracheostomy patients, the use of drugs also needs to be cautious. If administration through gastric tube is required, the tablets should be crushed, dissolved and poured in to ensure even distribution of the drug and reduce irritation to the gastric mucosa. Commonly used drugs may include antibiotics, expectorants, sedatives, etc., which need to be used rationally according to medical advice.
In summary, whether a tracheostomy patient changes from nasogastric feeding to stuttering should be judged based on the patient's state of consciousness and swallowing ability. During the nursing process, the patient's vital signs also need to be closely monitored to ensure safe and effective nutritional support and drug treatment.