Question

On Saturday at 15:00 p.m. Mrs. Jane Williamson a 68 years old female with a 10 years history
of laryngeal cancer. She has a tracheostomy with oxygen at 5 liters. She has a son that smoke 2
pack of cigarette per day. She also has a history of myocardial infarction and Afib and a history
of coronary bypass. She takes digoxin and diuretics, coumadin, Colace and albuterol. Mrs.
Williamson started complaining of chest pain. She was admitted for possible r/o MI. She was
put on a cardiac monitor and cardiac enzymes were taken. She uses a note pad to
communicate. She uses a note pad to communicate with others. She complained that she can’t
breathe. 4 hours later, she complained again that she breathes and that she needs to be
suction.
Her husband asked, “ why does she needs to suction so often. she did not do it so oftern at
home.”

Answer 1

Here Mrs Jane is a diagnosed case of LARYNGEAL CANCER with TRACHEOSTOMY. and is now admitted for suspected MI.

Here husband asks about why does she needs so often suctioning of tracheostomy?

Let is understand what is tracheotomy and what care is required?

Tracheostomy is a procedure of making a opening in trachea for different reasons.

These patients has air entry from trschestomy site instead of nose from where we normaly breath.

Usually our respiratory tract and pharynx(throat) secretes alof of thick mucoid secretion which is pushed by ciliary movement upto throat automatically and then we remove out my coughing or straining, but incase of tracestomy this secretion tries to come out through tracheostomy opening and sometimes may plug it and cause difficulty in breathing so suctioning is very important with tracheotomy. patient.

for complications please go through my notes below