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wwallace suction

wwallace RT2 suctioning

QuestionAnswer
Whistle tip catheter tip is cut at an angle and has one or more eyes or ports cut in the side.
What is the advantage of an eye or port in a catheter keeps vacuum from biopsying mucosal during suctioning
Coude tip has a bend or angle at the distal end, allows for directional entry into right or left mainstem bronchi
Argyle aeroflow catheter donut shaped tip with multiple port holes
Closed suction system catheter in sealed plastic for protection, distal end is attached to modified aerosol T proximal to control valve, replace ea 24 hrs, used on vent
Besides convenience, why is a closed suction system used primary is to keep pt VT, FIO2 and PEEP up, secondary is convenient, cheap, less contamination, good for 24 hrs
What is a rigid tonsillar aka yankauers hard plastic catheter specifically for oropharynx suctioning
Oropharyngeal airway curved shaped device that separates the tongue from the posterior wall of the pharynx to relieve obstructions in unconscious pt
How is a oropharyngeal airway inserted with tip up, rotate 180 degrees as it goes in
Why and how is correct sizing important in oropharyngeal airway to small and soft tissue may still obstruct, to large may push epiglottis against larynx closing airway, correct is at base of tongue, measure from middle ear to tip of nose
Why is oropharyngeal airway not tolerated by conscious pt gag reflex may be strongly stimulated, may result in vomiting and aspiration
What is a nasopharyngeal airway soft rubber tube placed in one of the nares, used in a conscious and semiconscious pt when tongue or soft tissue is causing obstruction
What is a nasal trumpet nasopharyngeal airway
What size nasal trumpet is best largest diameter that can easily pass with minimal force or trauma, length should be from the ear tragus (middle pointy on cheek) to the end of the nose.
If the nasal trumpet is not sized correctly what problems may occur to small may not correct airway obstruction, proper fit should rest at base of tongue, to large may cause larynex to block airway
What is a suction regulator reduces the high negative pressure to a manageable and safe physiological level, single stage, 0-200 mmhg (neg)
What is the suction pressure for adults -100 to -120
What is the suction pressure for Peds -80 to -100
What is the suction pressure for neonates -60 to -80
Indication for suction are primary is to remove secretions, maintain a patent airway in the presence of evidence of secretions audible and physical ie: crackles, rhonchi, diminished BS, obstruction, CSR with opacity, tachycardia, tactile fremitis, spo2
Contraindications of suctioning are occlude nasal passages, nasal bleeding, Epiglottitis or croup, acute head face or neck injury, bleeding disorder, laryngospasm, irritable airway, upper resp tract infection
What is a Lukens trap specimen trap that can be placed in a vacuum circuit to collect sputum
What is the only suction catheter that can go down the left bronchi coude tip
What is the biggest hazard of suctioning hypoxia or hypoxemia
Hazards of suctioning are mechanical trauma-pharynx perf, laceration of nasal turbinate, bleeding, tracheitis, hypoxemia, cardiac dysrhythmia bradycardia, hyper or hypotention, resp arrest, uncontrolled cough, gag, vomit, laryngospasm, bronchospasm, pain, infection, atelectasis
How can suctioning cause atelectasis catheter to big or suction press to high
Assessment of need for suctioning auscultation, effectiveness of cough
Why can suctioning cause bradycardia touching the corina with the catheter can stimulate the vagal nerve
Assessment of outcome improved breath sounds, removed secretions
Pt monitoring during suctioning should include BS, skin color, breathing pattern and rte, pulse, rhythm, sputum, bleeding or evidence of trauma, pt subjective response, cough, spo2, ICP if available
Manual resuscitator flow should be set at what prior to suctioning 10 to 15
Suction kit includes sterile catheter, gloves and basin
Equipment preparation for suctioning includes manual resuscitator, suction kit, goggles or face mask, sterile normal saline, sterile distilled water, vacuum regulator, suction trap if needed, ky jelly
Sterile distilled water needs replaced how often every 72 hours, be sure to date when opening
What is position of pt for suctioning semi fowler sniffing or supine if unable to semi fowler
How do we prevent hypoxemia in suctioning preoxygenate pt at 100 percent O2 for 1 to 2 minutes
Why do we hyperinflate pt prior to suctioning helps to avoid hypoxemia and vagal stimulation in vented pts
How far does RTT insert catheter 8 to 10 inches or until pt coughs
How long do we suction a pt for application of vacuum should be no longer than 15 seconds
Artificial airway aspiration direct passage below the larynx
How much saline is instilled in artificial airway if secretions are thick 3 cc
How often do we oxygenate pts when suctioning artificial airways between each pass
How do you estimate the size of a suction catheter 2 x ET tube size and then down one size , so ET tube of 6 is 12 so catheter is 10 french
RTT ready to suction pt but no suction, what might be problem leak at suction trap or vacuum line, canister may be full, suction not turned on
pt has PVC's during suction, what should RTT do stop, give 100 % O2, once stable continue suction
how does RTT reduce trauma to mucosa during suctioning rotate catheter, do not exede reconmended pressure, use largest cath possible with out going over 1/2
Created by: williamwallace