— 生理適應 · MEDIUM · SATA —
照顧氣切病人的護理責任有哪些？（選所有適合的）
Which of the following are essential nursing responsibilities when caring for a client with a tracheostomy? (Select all that apply.)
- AMaintain a humidified oxygen source✓ 正解維持加濕之氧氣來源
- BKeep an obturator at the bedside✓ 正解在床邊備妥導芯（obturator）
- CChange the tracheostomy ties daily每日更換氣切管繫帶
- DPerform suctioning routinely every hour常規每小時進行抽吸
- EClean the site with hydrogen peroxide以過氧化氫清潔部位
— Explanation · 中文詳解 —
氣切（Tracheostomy）照護旨在維持呼吸道通暢與預防併發症。氣切病人失去上呼吸道的過濾與加濕功能，因此提供加濕氧氣能防止痰液結痂阻塞。床邊備有氣切導引器（Obturator）是緊急安全防護，若意外脫管，導引器是重新置入管路的關鍵工具。臨床護理師應避免過度頻繁且不必要的抽痰，以減少對氣管黏膜的傷害。
Essential nursing responsibilities for a client with a tracheostomy include maintaining a humidified oxygen source to prevent mucus plugging and keeping an obturator at the bedside for emergency tube replacement. Suctioning should be performed based on clinical assessment rather than a rigid schedule, and ties are changed only when soiled to maintain securement without unnecessary disruption.