Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
RCP 111
Suctioning Equipment & Techniques
| Question | Answer |
|---|---|
| What are a couple airway clearance techniques? | - Suctioning - Invasive procedure. |
| Suctioning: Airway Clearance Technique | Negative pressure applied within the airway. |
| Invasive procedure: Airway Clearance Technique | - Can be via ET or Trach tube - Through the nose into trachea. |
| What is it called when you put a tube through the nose into the trachea? | NT or naso- tracheal suctioning |
| What are the indications for suctioning? | - Patient has an inability to clear secretions. - A sample of sputum is to be obtained for lab analysis purposes. |
| Patient has an inability to clear secretions: | - Ineffective or absent cough (Has need to remove secretions) - Evidence of retained secretions in upper airway ( coarse crackles/ rhonchi) |
| How do you obtain a sample of sputum for lab analysis purposes when you have to use a suction? | Use a sterile "sputum trap" (Lukens trap) |
| What is an ABSOLUTE contraindication for NT suctioning? | - Evidence of croup - Epiglottitis |
| What is RELATIVE contraindication for NT suctioning? (Benefits out ways risks) | - Occluded nasal passages - Nasal bleeding - Bleeding disorder - Acute facial, head, or neck injury - Laryngospasm |
| What are some HAZARDS and COMPLICATIONS of NT Suctioning? | - Hypoxia/ Hypoxemia - Trauma to nasal passages, pharynx or trachea - Cardiac or respiratory arrest (vagus nerve stimulation) - Atelectasis - Bronchospasm - Increased ICP (inter cranial pressure) |
| When patients need suctioning? | - Listen over anterior chest with stethoscope and hear evidence of loud rhonchi. - Does pt have AUDIBLE CRACKLES when breathing with their mouth open. Does pt have tactile fremitus when you place hand over anterior chest? - Pt coughs, is it loose but |
| Review chart previous to procedure to confirm? | - The order - review clinical notes (PO2) - review medications - assess for any contraindications |
| What to monitor during suctioning? | - RR & pattern - ECG tracing, HR - Skin color; SpO2 - Subjective response - Sputum - Evidence of airway bleeding? |
| What are some sputum characteristics? | - color - consistency - amount - oder |
| What equipment is used when suctioning? | - suction regulator - suction canister to collect secretions - suction connecting tube - suction kit |
| What is in a suction kit? | - sterile gloves - sterile catheter (sheathed or unsheathed) - basin for irrigation water or sterile water - lubrication jelly |
| What are some suctioning regulator facts? | - Set on continuous - read gauge at eye level - adjust pressure while occluding tubing |
| What are the procedure for suctioning? | - Assess need - Turn on and set suction pressure on regulator - Prepare patient - Make sure patient is oxygenated with 100% - BVM always at bedside or vent at 100% |
| What is the proper pressure for suctioning for children? | negative 80-100 mmHg |
| What is the proper pressure for suctioning an adult? | negative 100-120 mmHg |
| What is the proper pressure for suctioning an infant? | negative 60-80 mmHg |
| The correct order to do a suction procedure? | - Oxygenate patient before procedure. - open necessary sterile saline or sterile water - open lubricating jelly - open kit and put sterile gloves on - lubricate catheter (NT suction only) - apply suction ONLY WILE WITHDRAWING using rotating motion. |
| Post suctioning procedure care | - reoxygenate patient after procedure - monitor pt and assess need for additional suctioning - Repeat as necessary - If difficult, leave catheter in with suction off, BVM at 100%, then retry. |
| What type of technique is used when suctioning (NT)? | Aseptic |
| What do you do if sterile (aseptic) technique is broken? | Sart over |
| What position do you want the pt when suctioning (NT)? | semi- fowler if possible |
| Intermittent occlusion vs continuous and use of saline? | - No difference but it causes less trauma - Regardless removes O2 and volume |
| What size catheter is commonly used for an adult? | 14F |
| What are the other smaller sizes of catheters? | 12F, 10F, 8F, 6F 1F= 1/3 mm. EX.. -12F = 4mm |
| How to figure out what size catheter to use when suctioning through an ET tube? | - take ET tube size (mmI.D.), multiply by 3, and divide by 2. - 8.0x3= 24F /2= 12F (Moby's) or - take ET tube size (I.D.) and multiply by 2. - 8.0mm tube x2 = 16F Next closest size down is 14F (Egan) |
| What is the standard length for a catheter? | 22in long |
| What is the markings on the catheter for neonates for? | Distance markings |
| Whistle tip suction catheter? | has a side opening towards the bottom of the catheter, also has an opening at the tip. |
| Coude tip suction catheter: | bend close to tip, ridged |
| What is the most common closed- system multi- use ET suction catheter system? | Ballard (now generic) |
| What is a closed- system muti- use ET catheter also called? | oxygen insufflation catheter |
| True or False: You need to disconnect from ventilator when suctioning a patient? | False |
| How long can a closed- system multi- use ET catheter be used? | for extended periods (1-3 days) |
| True or False: Closed- system multi- use ET catheters are cost effective? | True |
Created by:
tracyb34
Popular Respiratory Therapy sets