RCP 111 Word Scramble
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| Question | Answer |
| What are a couple airway clearance techniques? | - Suctioning - Invasive procedure. |
| Suctioning: Airway Clearance Technique | Negative pressure applied within the airway. |
| Invasive procedure: Airway Clearance Technique | - Can be via ET or Trach tube - Through the nose into trachea. |
| What is it called when you put a tube through the nose into the trachea? | NT or naso- tracheal suctioning |
| What are the indications for suctioning? | - Patient has an inability to clear secretions. - A sample of sputum is to be obtained for lab analysis purposes. |
| Patient has an inability to clear secretions: | - Ineffective or absent cough (Has need to remove secretions) - Evidence of retained secretions in upper airway ( coarse crackles/ rhonchi) |
| How do you obtain a sample of sputum for lab analysis purposes when you have to use a suction? | Use a sterile "sputum trap" (Lukens trap) |
| What is an ABSOLUTE contraindication for NT suctioning? | - Evidence of croup - Epiglottitis |
| What is RELATIVE contraindication for NT suctioning? (Benefits out ways risks) | - Occluded nasal passages - Nasal bleeding - Bleeding disorder - Acute facial, head, or neck injury - Laryngospasm |
| What are some HAZARDS and COMPLICATIONS of NT Suctioning? | - Hypoxia/ Hypoxemia - Trauma to nasal passages, pharynx or trachea - Cardiac or respiratory arrest (vagus nerve stimulation) - Atelectasis - Bronchospasm - Increased ICP (inter cranial pressure) |
| When patients need suctioning? | - Listen over anterior chest with stethoscope and hear evidence of loud rhonchi. - Does pt have AUDIBLE CRACKLES when breathing with their mouth open. Does pt have tactile fremitus when you place hand over anterior chest? - Pt coughs, is it loose but |
| Review chart previous to procedure to confirm? | - The order - review clinical notes (PO2) - review medications - assess for any contraindications |
| What to monitor during suctioning? | - RR & pattern - ECG tracing, HR - Skin color; SpO2 - Subjective response - Sputum - Evidence of airway bleeding? |
| What are some sputum characteristics? | - color - consistency - amount - oder |
| What equipment is used when suctioning? | - suction regulator - suction canister to collect secretions - suction connecting tube - suction kit |
| What is in a suction kit? | - sterile gloves - sterile catheter (sheathed or unsheathed) - basin for irrigation water or sterile water - lubrication jelly |
| What are some suctioning regulator facts? | - Set on continuous - read gauge at eye level - adjust pressure while occluding tubing |
| What are the procedure for suctioning? | - Assess need - Turn on and set suction pressure on regulator - Prepare patient - Make sure patient is oxygenated with 100% - BVM always at bedside or vent at 100% |
| What is the proper pressure for suctioning for children? | negative 80-100 mmHg |
| What is the proper pressure for suctioning an adult? | negative 100-120 mmHg |
| What is the proper pressure for suctioning an infant? | negative 60-80 mmHg |
| The correct order to do a suction procedure? | - Oxygenate patient before procedure. - open necessary sterile saline or sterile water - open lubricating jelly - open kit and put sterile gloves on - lubricate catheter (NT suction only) - apply suction ONLY WILE WITHDRAWING using rotating motion. |
| Post suctioning procedure care | - reoxygenate patient after procedure - monitor pt and assess need for additional suctioning - Repeat as necessary - If difficult, leave catheter in with suction off, BVM at 100%, then retry. |
| What type of technique is used when suctioning (NT)? | Aseptic |
| What do you do if sterile (aseptic) technique is broken? | Sart over |
| What position do you want the pt when suctioning (NT)? | semi- fowler if possible |
| Intermittent occlusion vs continuous and use of saline? | - No difference but it causes less trauma - Regardless removes O2 and volume |
| What size catheter is commonly used for an adult? | 14F |
| What are the other smaller sizes of catheters? | 12F, 10F, 8F, 6F 1F= 1/3 mm. EX.. -12F = 4mm |
| How to figure out what size catheter to use when suctioning through an ET tube? | - take ET tube size (mmI.D.), multiply by 3, and divide by 2. - 8.0x3= 24F /2= 12F (Moby's) or - take ET tube size (I.D.) and multiply by 2. - 8.0mm tube x2 = 16F Next closest size down is 14F (Egan) |
| What is the standard length for a catheter? | 22in long |
| What is the markings on the catheter for neonates for? | Distance markings |
| Whistle tip suction catheter? | has a side opening towards the bottom of the catheter, also has an opening at the tip. |
| Coude tip suction catheter: | bend close to tip, ridged |
| What is the most common closed- system multi- use ET suction catheter system? | Ballard (now generic) |
| What is a closed- system muti- use ET catheter also called? | oxygen insufflation catheter |
| True or False: You need to disconnect from ventilator when suctioning a patient? | False |
| How long can a closed- system multi- use ET catheter be used? | for extended periods (1-3 days) |
| True or False: Closed- system multi- use ET catheters are cost effective? | True |
Created by:
tracyb34
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