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Resp 2.5

Suctioning

QuestionAnswer
Determine correct size of suction catheter when given endotracheal or trach tube size ID of ET x 3 (factor) = /2
Amount of vacumm suction needed for adults 120-150 mmHg
Amount of vacumm suction needed for children 100-120 mmHg
Amount of vacumm suction needed for infants 80-100 mmHg
Purpose of the Coude catheter curved directional tip catheter which may help in guiding it into either the left mainstem bronchi
Purpose of sputum trap for sputum collection
Purpose of tracheal suctioning Maintain a patent airway removing secretions, blood, or foreign material and facilitate pulmonary hygiene
Indications for tracheal suctioning visible secretions in airway or audible gurgling, increased tactile fremitus, sudden increase in resp distress/dyspnea, and increase in pressures require to ventilate with IPPB or mech ventilation, prolonged cough,
physiological steps in a normal cough large inspiration (2/3 of vital capacity), glottis is closed, diaphragm moves up, pressure builds in thorax, glottis suddenly opens up, secretions move up and out
Complications associated with tracheal suctioning hypoxia, vagal stimulation, trauma, dsyhythmias, hemoptysis, atelectasis, bronchospasm
Contraindications to nasotracheal suctioning epiglottitis, and croup
Methods to minimize or prevent problems associated with suctioning hyperoxygenate, do it only as needed, do it in a quick efficient way (less than 15 seconds)
Suctioning in home care setting get clean as possible, use boiled or distilled water to rinse catheter, air dry, suction catheter can be used up to 24 hours, only when needed, and clean equipment with vinegar
how to collect a sputum sample with a trap attach leuken tube to suction and to sucker. Suction and close cup
Clinical signs that should be monitored during the suctioning procedure and how to respond to adverse reactions BS, vital signs, appearance...... stop treatment notify nurse or doctor
cause of expiratory wheezing after suctioning bronchospasm; things get irritated so they tighten up and wheeze gets vibrant
What kind of suctioning for closed system (in line) continous
What kind of suctioning for sterile hand catheter kit intermittent
What kind of suctioning for when getting a sputum trap depending on what it is. closed or not
When is lavage needed to break up hard thick mucus
Types of solution used for lavage normal saline, mucomyst, Na Bicarb
Advantages of lavage breaks up thich mucus
Disadvantages of lavage if need a sputum sample it will have to much saline in it. Also some might get stuck way down and cause infection
Appropriate time to instill lavage right before suctioning
Indications for use of closed suction techniques PEEP > 10, insp time > 1.5 seconds, FiO2 > 60, MAP > 20 , resp infections
Factors that indicate the outcome of suctioning was beneficial to the patient decrease WOB, you got sputum out, HR went close to normal, and RR went down
Created by: TnJFarrington12