Just need some help with prep work. I have a patient with a diagnosis of recurrent aspirations who has a trach (a shiley with if cuffed, deflated and corked), and is also on TPN. I'm triing to come up with my day and some priorities for this patient as well as understanding their diagnosis. They have a history of COPD,GERD, HTN, ex smoker, diabetes. Also had hypoxemia 2 degree to aspiration pnemonia.
I was thinking that for some priorities would be a resp assessment (making sure that there are no crackles and if there are asking them to cough to try to get them out), monitoring resp status, also looking at the PICC site.
I haven't really worked with TPN or trachs. Any tips?
Thanks in advance.