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healthcare provider will take them off once the skin around
your tube heals. Leave clean bandages over the tube area
for the first 24 hours after the tube is put in. You may not
need to use bandages after 24 hours if the skin around the
tube looks dry. Ask when you can shower or bathe.
Routine skin care:
o Clean the skin around your tube 1 to 2 times
each day. Ask your healthcare provider what you
should use to clean your skin. Check for redness
and swelling in the area where the tube goes into
your body. Check for fluid draining from your
stoma (the hole where the tube was put in).
o Gently turn your tube daily after your stitches
come out. This may decrease pressure on your
skin under the bumper. It may also help prevent
an infection.
o Keep the skin around your PEG tube dry. This
will help prevent skin irritation and infection.
Use topical medicines as directed. You may need to put
antibiotic cream on the skin around your tube after you are
done cleaning it.
Your PEG tube is longer than it was when it was put in.
Blood or tube feeding fluid leaks from the PEG tube site.
Your PEG tube is shorter than it was when it was put in.
Your mouth feels dry, your heart feels like it is beating too
fast, or you feel weak.
COLOSTOMY CARE
WHAT IS COLOSTOMY CARE?
You or a family member will need to learn to care for your
colostomy. It may require changes in your lifestyle. You may
work with an ostomy specialist to find the best ways to care for
yourself.
HOW DO I CHANGE MY POUCH?
How you change your pouch depends on the type you have.
Your healthcare provider will give you specific instructions on
how to change your colostomy pouch. The following is general
information about how to change your pouch:
Drain the pouch: Place toilet paper into the toilet before
you empty the pouch to reduce splash back. Drain the
pouch by squeezing the contents into the toilet.
Close the end of the pouch: Unroll the end of the pouch.
Replace the clamp or close the end of the pouch
according to your caregiver's instructions.
HOW DO I CARE FOR MY SKIN?
Look at the skin around your stoma each time you change your
pouch. Your stoma should be pink or red and moist. You may
have a small amount of bleeding when you clean your stoma.
This is normal. Your stoma will get smaller and become its
normal size in about 8 weeks.
Make sure the skin barrier opening fits well: The skin
barrier is the part of the pouch that sticks to the skin of
your abdomen. It should be no more than of an inch
larger than your stoma. If the opening is too large, bowel
movement can leak onto your skin and cause irritation.
Measure the size of your stoma with the guide that comes
with your colostomy supplies. Make sure you cut the skin
barrier smaller as your stoma gets smaller.
Soothe irritated skin: If your skin is red, it may mean that
the skin barrier was on too long. It is important to find the
cause of your skin irritation. Ask your healthcare provider if
you need help finding the cause of your skin irritation.
Limit foods that may cause gas and odor: These include
vegetables such as broccoli, cabbage, and cauliflower.
Beans, eggs, and fish may also cause gas and odor. Eat
slowly and do not use a straw to drink liquids. Yogurt,
buttermilk, and fresh parsley may help control odor and
gas.
TRACHEOSTOMY CARE
WHAT IS TRACHEOSTOMY CARE?
Tracheostomy (trach) care is done to ensure your trach tube
and the area around it stays clean. This helps prevent a
clogged tube and decreases the risk of infection. Trach care
includes suctioning and cleaning your skin and parts of the
tube. Your caregiver will show you how to care for your trach
tube, and what to do in an emergency.
What are the parts of a trach tube?
Trach ties: The ties go around your neck and hold the
flanges in place. The ties may be made of fabric tape. A
trach holder made from hook and loop fasteners may also
be used.
Cuff: Some plastic trach tubes have a cuff that fills with air
and helps hold the tube in place. A thin tube and reservoir
may hang from the trach tube so you can inflate and
deflate the cuff.
WHAT SUPPLIES DO I NEED FOR TRACH CARE?
Keep spare supplies with you at all times while you have a
trach tube. You may at any time need to suction or change
your tube if it gets clogged or needs to be replaced quickly.
One trach tube the same size as your current tube and
another trach tube that is 1 size smaller
Sterile saline
Keep your neck clean and dry: Change the gauze and
trach ties when they are wet or dirty.
Prepare the new trach tube: Insert the obturator into the
new tube. Inflate the cuff with air to make sure it works,
and then let the air out. Place a small amount of lubricant
on the lower end of the tube as directed by your caregiver.
Wipe off excess lubricant.
Deflate the cuff on your current trach tube before you
remove it: You can damage your airway or skin if you
forget to do this. Pull your trach tube out gently.
Insert the new trach tube: Remove the obturator after the
trach tube is in place. Insert a new or clean inner cannula.
Use trach ties or a trach holder as directed to secure the
tube.
Inflate the cuff as directed: Your caregiver will show you
how much air to use. A cuff with too much air can leak,
break, or harm your airway.
Call 911: Have someone call 911 if you still cannot breathe
easily.
WHEN SHOULD I CONTACT MY CAREGIVER?
Contact your caregiver if:
You see thick, red tissue growing around your trach tube,
or the skin is red, swollen, or draining pus.
It hurts to swallow.
WHEN SHOULD I SEEK IMMEDIATE CARE?
Seek care immediately or call 911 if: