Perform only when needed- not on a routine schedule. For the patient w/ a weak cough, weak pulmonary muscles, and inability to expectorate effectively, perform nasotracheal suctioning.

Nasotracheal suctioning

Assess the pt for dyspnea, tachycardia, and dysrhythmias during suctioning. Assess for breath sounds after.

Suctioning artificial airway

Wash hands, don eyewear, maintain standard precautions. Explain to patient that sensations like sob & coughing are to be expected, but it will be brief. Check the suction source, occlude the suction source and adjust the pressure dial to 80-120 mmhg.

80-120 mmhg suctioning

to prevent hypoxemia and trauma to mucosa. Set up sterile field, preoxygenate patient 100% o2 for 30 seconds to 3 min to prevent hypoxemia. Keep hyperinflations synched w/ inhalation.

More suctioning technique

Quickly insert suction cath until resistance is met, do not apply suction during insertion!! withdraw cathetor 0.4-0.8 in and begin to apply suction. apply suction and use twirling motion of cath during withdrawal. Never suction longer than 10-15 sec.

Hyperoxygenate 1-5 min or until the patients baseline HR and o2 are within normal limits. Repeat as needed for up to 3 total suction phases. Suction mouth as needed, and provide mouth care. Remove gloves and wash hands. Describe secretions and document

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Suctioning

Question	Answer
Suctioning	Perform only when needed- not on a routine schedule. For the patient w/ a weak cough, weak pulmonary muscles, and inability to expectorate effectively, perform nasotracheal suctioning.
Nasotracheal suctioning	Assess the pt for dyspnea, tachycardia, and dysrhythmias during suctioning. Assess for breath sounds after.
Suctioning artificial airway	Wash hands, don eyewear, maintain standard precautions. Explain to patient that sensations like sob & coughing are to be expected, but it will be brief. Check the suction source, occlude the suction source and adjust the pressure dial to 80-120 mmhg.
80-120 mmhg suctioning	to prevent hypoxemia and trauma to mucosa. Set up sterile field, preoxygenate patient 100% o2 for 30 seconds to 3 min to prevent hypoxemia. Keep hyperinflations synched w/ inhalation.
More suctioning technique	Quickly insert suction cath until resistance is met, do not apply suction during insertion!! withdraw cathetor 0.4-0.8 in and begin to apply suction. apply suction and use twirling motion of cath during withdrawal. Never suction longer than 10-15 sec.
After suction	Hyperoxygenate 1-5 min or until the patients baseline HR and o2 are within normal limits. Repeat as needed for up to 3 total suction phases. Suction mouth as needed, and provide mouth care. Remove gloves and wash hands. Describe secretions and document

Created by: Keys_ashleigh

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