What is the primary concern when caring for a patient with a tracheostomy?

In caring for a patient with a tracheostomy, the primary concern is maintaining an open airway. A tracheostomy involves creating an opening in the trachea to facilitate breathing when the upper airway is compromised. Therefore, ensuring that the airway remains unobstructed is crucial for the patient's ability to breathe effectively.

Patients with a tracheostomy may have secretions that can block the airway, or there may be issues with the tube itself, such as dislodgment or blockage. Regular assessment for patency and suctioning as necessary are critical components of care to prevent respiratory distress.

While maintaining a sterile environment, ensuring proper nutrition, and administering medications accurately are all important aspects of patient care, the immediate priority for a patient with a tracheostomy is to secure and maintain that open airway to prevent life-threatening complications.