wwallace RT2 suctioning
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| Whistle tip catheter | show 🗑
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| show | keeps vacuum from biopsying mucosal during suctioning
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| Coude tip | show 🗑
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| show | donut shaped tip with multiple port holes
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| Closed suction system | show 🗑
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| show | primary is to keep pt VT, FIO2 and PEEP up, secondary is convenient, cheap, less contamination, good for 24 hrs
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| What is a rigid tonsillar aka yankauers | show 🗑
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| show | curved shaped device that separates the tongue from the posterior wall of the pharynx to relieve obstructions in unconscious pt
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| How is a oropharyngeal airway inserted | show 🗑
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| Why and how is correct sizing important in oropharyngeal airway | show 🗑
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| show | gag reflex may be strongly stimulated, may result in vomiting and aspiration
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| What is a nasopharyngeal airway | show 🗑
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| show | nasopharyngeal airway
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| show | 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.
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| show | to small may not correct airway obstruction, proper fit should rest at base of tongue, to large may cause larynex to block airway
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| What is a suction regulator | show 🗑
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| show | -100 to -120
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| What is the suction pressure for Peds | show 🗑
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| show | -60 to -80
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| show | 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
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| show | occlude nasal passages, nasal bleeding, Epiglottitis or croup, acute head face or neck injury, bleeding disorder, laryngospasm, irritable airway, upper resp tract infection
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| What is a Lukens trap | show 🗑
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| What is the only suction catheter that can go down the left bronchi | show 🗑
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| show | hypoxia or hypoxemia
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| Hazards of suctioning are | show 🗑
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| show | catheter to big or suction press to high
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| show | auscultation, effectiveness of cough
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| show | touching the corina with the catheter can stimulate the vagal nerve
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| show | improved breath sounds, removed secretions
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| Pt monitoring during suctioning should include | show 🗑
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| Manual resuscitator flow should be set at what prior to suctioning | show 🗑
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| Suction kit includes | show 🗑
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| show | manual resuscitator, suction kit, goggles or face mask, sterile normal saline, sterile distilled water, vacuum regulator, suction trap if needed, ky jelly
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| Sterile distilled water needs replaced how often | show 🗑
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| show | semi fowler sniffing or supine if unable to semi fowler
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| How do we prevent hypoxemia in suctioning | show 🗑
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| Why do we hyperinflate pt prior to suctioning | show 🗑
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| How far does RTT insert catheter | show 🗑
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| show | application of vacuum should be no longer than 15 seconds
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| show | direct passage below the larynx
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| How much saline is instilled in artificial airway if secretions are thick | show 🗑
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| How often do we oxygenate pts when suctioning artificial airways | show 🗑
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| How do you estimate the size of a suction catheter | show 🗑
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| RTT ready to suction pt but no suction, what might be problem | show 🗑
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| pt has PVC's during suction, what should RTT do | show 🗑
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| show | rotate catheter, do not exede reconmended pressure, use largest cath possible with out going over 1/2
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