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Resp 2.5 III
Suctioning Powerpoints
| Question | Answer |
|---|---|
| Purpose of suctioning | Maintain a patent airway by removing secretions, blood, or foreign material |
| When is suctioning performed | only when needed, visible secretions or audible gurgling, sudden increase in RR |
| Retention of secretions can cause | increased WOB, atelectasis, hypoxemia, hypercapnia, pulmonary infection, increased airway resistance |
| What happens when you cough | large inspiration, glottis closed, diaphragm moves up, pressure builds up in thorax, glottis opens, secretions move out |
| Indications for suctioning | prolonged coughing, patientes request, patients with artificial airways |
| Patients that require suctioning | Nervous system depression (intoxicated, sedated), abnormal pulmonary mechanics, thick secretions, pain, post surgical |
| Upper airway suction device | oroharynx; clean (not sterile) yaunker, flexible plastic or rubber catheter |
| Lower airway suction device | trachea and bronchi; open airway (remove pt from O2), closed airway (pt remains connected to O2) |
| Pressure save zone for adult | 120-150 mmHg |
| Pressure save zone for child | 100-120 mmHg |
| Pressure save zone for infant | 80-100 mmHg |
| Formula to find right size catheter | (ID of ET tube X 3 (factor))/ 2 |
| When do you instill lavage | Only after you are completely compared to begin insertion and suction |
| What to monitor during suction | BS, O2 sat, RR, PR, BP, ABG, cough effor and ICP (internal cranial pressure) |
| Complications of suctioning | Hypoxia,vagal stimulation, trauma, dysrhythmias, hemoptysis, atelectasis, bronchospasm, |
| What does high peep pressure help with | helps with decrease FRC, it causes large drop in oxygenation, |
| Contraindications for suctioning | epiglotitis because the glottis protects trachea, and Croup |
| Indication for closed suction catheter use | PEEP greater than 10 cmH20, MAP greater than 20, I time greater than 1.5, FiO2 greater than 60, pt with TB, pt receiving inhaled agents that can't be interuppted by disconnect for suctioning |
| Suctioning in the home | make sure it is clean as possible, Catheter can be used up to 24 hours, equipment washed in vinegar 9:1, and boil if permitted. |
Created by:
TnJFarrington12
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