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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| 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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williamwallace
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