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wwallace RT2 suctioning

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Question
Answer
Whistle tip catheter   show
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show keeps vacuum from biopsying mucosal during suctioning  
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show has a bend or angle at the distal end, allows for directional entry into right or left mainstem bronchi  
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show donut shaped tip with multiple port holes  
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show 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  
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Besides convenience, why is a closed suction system used   show
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show hard plastic catheter specifically for oropharynx suctioning  
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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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show 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  
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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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What is a nasal trumpet   show
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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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If the nasal trumpet is not sized correctly what problems may occur   show
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show reduces the high negative pressure to a manageable and safe physiological level, single stage, 0-200 mmhg (neg)  
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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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Indication for suction are   show
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Contraindications of suctioning are   show
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show specimen trap that can be placed in a vacuum circuit to collect sputum  
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What is the only suction catheter that can go down the left bronchi   show
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What is the biggest hazard of suctioning   show
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show 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  
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How can suctioning cause atelectasis   show
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show auscultation, effectiveness of cough  
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Why can suctioning cause bradycardia   show
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Assessment of outcome   show
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Pt monitoring during suctioning should include   show
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show 10 to 15  
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show sterile catheter, gloves and basin  
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Equipment preparation for suctioning includes   show
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Sterile distilled water needs replaced how often   show
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What is position of pt for suctioning   show
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show preoxygenate pt at 100 percent O2 for 1 to 2 minutes  
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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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How long do we suction a pt for   show
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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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show 2 x ET tube size and then down one size , so ET tube of 6 is 12 so catheter is 10 french  
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show leak at suction trap or vacuum line, canister may be full, suction not turned on  
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show stop, give 100 % O2, once stable continue suction  
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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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Created by: williamwallace
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