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Resp 2.5
Suctioning
| Question | Answer |
|---|---|
| Determine correct size of suction catheter when given endotracheal or trach tube size | ID of ET x 3 (factor) = /2 |
| Amount of vacumm suction needed for adults | 120-150 mmHg |
| Amount of vacumm suction needed for children | 100-120 mmHg |
| Amount of vacumm suction needed for infants | 80-100 mmHg |
| Purpose of the Coude catheter | curved directional tip catheter which may help in guiding it into either the left mainstem bronchi |
| Purpose of sputum trap | for sputum collection |
| Purpose of tracheal suctioning | Maintain a patent airway removing secretions, blood, or foreign material and facilitate pulmonary hygiene |
| Indications for tracheal suctioning | visible secretions in airway or audible gurgling, increased tactile fremitus, sudden increase in resp distress/dyspnea, and increase in pressures require to ventilate with IPPB or mech ventilation, prolonged cough, |
| physiological steps in a normal cough | large inspiration (2/3 of vital capacity), glottis is closed, diaphragm moves up, pressure builds in thorax, glottis suddenly opens up, secretions move up and out |
| Complications associated with tracheal suctioning | hypoxia, vagal stimulation, trauma, dsyhythmias, hemoptysis, atelectasis, bronchospasm |
| Contraindications to nasotracheal suctioning | epiglottitis, and croup |
| Methods to minimize or prevent problems associated with suctioning | hyperoxygenate, do it only as needed, do it in a quick efficient way (less than 15 seconds) |
| Suctioning in home care setting | get clean as possible, use boiled or distilled water to rinse catheter, air dry, suction catheter can be used up to 24 hours, only when needed, and clean equipment with vinegar |
| how to collect a sputum sample with a trap | attach leuken tube to suction and to sucker. Suction and close cup |
| Clinical signs that should be monitored during the suctioning procedure and how to respond to adverse reactions | BS, vital signs, appearance...... stop treatment notify nurse or doctor |
| cause of expiratory wheezing after suctioning | bronchospasm; things get irritated so they tighten up and wheeze gets vibrant |
| What kind of suctioning for closed system (in line) | continous |
| What kind of suctioning for sterile hand catheter kit | intermittent |
| What kind of suctioning for when getting a sputum trap | depending on what it is. closed or not |
| When is lavage needed | to break up hard thick mucus |
| Types of solution used for lavage | normal saline, mucomyst, Na Bicarb |
| Advantages of lavage | breaks up thich mucus |
| Disadvantages of lavage | if need a sputum sample it will have to much saline in it. Also some might get stuck way down and cause infection |
| Appropriate time to instill lavage | right before suctioning |
| Indications for use of closed suction techniques | PEEP > 10, insp time > 1.5 seconds, FiO2 > 60, MAP > 20 , resp infections |
| Factors that indicate the outcome of suctioning was beneficial to the patient | decrease WOB, you got sputum out, HR went close to normal, and RR went down |
Created by:
TnJFarrington12
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