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학습 자료 둘러보기 →The highest priority is maintaining airway patency via tracheostomy suctioning. After a total laryngectomy, the upper airway is bypassed, and the client cannot perform a standard cough. Secretions directly obstruct the tracheostoma, leading to rapid hypoxia.
Suctioning should be performed as needed based on assessment (visible secretions, audible gurgling, increased respiratory rate, decreased oxygen saturation). Pre-oxygenate with 100% O2 before and after suctioning.
Never encourage a standard "cough and deep breathe" routine. Instead, teach the laryngectomy cough: a deep breath through the stoma followed by a short, forceful exhalation. Humidification is critical to thin secretions, but suctioning takes precedence when obstruction is present.
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