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wwallace RT2 suctioning

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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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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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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Besides convenience, why is a closed suction system used   show
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What is a rigid tonsillar aka yankauers   show
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Oropharyngeal airway   show
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show with tip up, rotate 180 degrees as it goes in  
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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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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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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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show -80 to -100  
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What is the suction pressure for neonates   show
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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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show specimen trap that can be placed in a vacuum circuit to collect sputum  
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show coude tip  
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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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Assessment of need for suctioning   show
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show touching the corina with the catheter can stimulate the vagal nerve  
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Assessment of outcome   show
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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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show sterile catheter, gloves and basin  
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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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show every 72 hours, be sure to date when opening  
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show semi fowler sniffing or supine if unable to semi fowler  
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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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show 8 to 10 inches or until pt coughs  
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show application of vacuum should be no longer than 15 seconds  
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Artificial airway aspiration   show
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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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how does RTT reduce trauma to mucosa during suctioning   show
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Created by: williamwallace
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