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ARTP > 05: Suctioning > Flashcards

05: Suctioning Flashcards

1
Q

Equipment for sterile-hand suctioning

A

Sterile gloves, saline, sx source, bag mask w O2, protective equipment

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2
Q

Equipment for in-line closed system suctioning

A

gloves, saline, sx source, bag mask w O2, protective equipment

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3
Q

Equipment for sterile-hand suctioning per ET and trach tube

A

Sterile gloves, saline, sx source, bag mask w O2, protective equipment, suction catheter

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4
Q

How to determine correct size of suction catheter for ET/trach

A

ID x 2 then size next even number down

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5
Q

Purpose of coudé catheter

A

Guide suction catheter in L or R mainstem

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6
Q

Purpose of sputum trap

A

Collect sample?

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7
Q

Purpose of endotracheal suctioning

A

Maintain patent airway by
-moving secretions, food, foreign body out of aw
-pulmonary hygiene with cough

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8
Q

Physical findings indicative of needing suction

A

Rhonchi
Visible secretions
Increased dyspnea/respiratory distress

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9
Q

Pt types requiring suctioning

A

Nervous system depression
Artificial airway
Inability to take a deep breath
Thick secretions, pain, postop

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10
Q

Negative pressure ranges

A

Infant: -80 to -100
Child: -100 to -120
Adult: -120 to -150

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11
Q

Indications for lavage solutions during suction

A

Thick, tenacious, secretions

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12
Q

Types of solutions for lavage

A

Normal saline
Mucomyst

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13
Q

Appropriate time for lavage during procedure

A

Completely prepped for insertion and suction

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14
Q

Lavage solution for sputum sample

A

Normal saline

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15
Q

What to monitor during suctioning

A

BS
O2 sats
Resp rate/pattern
HR, BP
EKG
Cough effort
ICP (if installed)

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16
Q

General suctioning procedure

A

Preoxygenate pt (100%)!!!!!!
Insert -> resistance-> withdraw 1-2 cm -> intermittent suctioning
<15 seconds in aw!!!!!
Twist as u withdraw
Maintain sterility

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17
Q

Relative contraindications of nasotracheal suctioning

A

Blocked nasal passage
Epistaxis
Acute facial, neck, or head injury
Upper aw infection
Irritable aw
Laryngospasm

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18
Q

Preventing hypoxemia during suctioning

A

Hyperoxygenate greater than or equal to 1 min
No longer than 10-15 sec

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19
Q

Vagal stimulation causes and how to prevent

A

Bradycardia
Quick/gentle
Appropriate vacuum pressure

20
Q

Dysrhythmias in suctioning are caused by and present as

A

Hypoxia
Tachycardia/PVCs

21
Q

How to prevent dysrhythmias in suctioning

A

10-15 sec to suction

22
Q

Preventing trauma in suctioning

A

Use lowest pressure possible (w/in range)

23
Q

Other complications/hazards of suctioning

A

Hemoptysis
Atelectasis
Bronchospasm

24
Q

Preventing mucosal trauma in nasotracheal suctioning

A

NPA

25
Q

How to prevent infection in nasotracheal suctioning

A

Maintain sterility/be gentle

26
Q

How to prevent arrhythmias in nasotracheal suctioning

A

Maintain oxygenation/vent
Time is within 10-15 sec

27
Q

Suctioning at home

A

Clean procedure
Boiled/distilled water to rinse -> air dry -> store in dry/clean area (use up to 24 hrs)
Vinegar 1:3 for 60 min
Boiling water
70% isopropyl for 5 min
Watch for fever and change in color of sputum

28
Q

Absolute contraindications of suctioning and what to use

A

Epiglottitis
Croup
Nasotracheal

29
Q

Retained secretions can lead to

A

Increased WOB and Raw
Atelectasis
Hypoxemia
Hypercapnia
Pulmonary infections

30
Q

Oral suctioning is

A

Catheter -> mouth

31
Q

Nasotracheal suctioning

A

Catheter -> nares

32
Q

Sterile-hand suctioning

A

Sterile technique -> catheter -> trachea

33
Q

Oropharynx suctioning

A

Upper airway
Yaunker

34
Q

If a pt is on oxygen with an open airway, what should you do with the O2 device during tracheal/bronchial suctioning

A

Remove

35
Q

If a patient has a closed airway (vent), what should be done with O2 during lower airway suctioning?

A

Leave them on O2 and use in-line

36
Q

When vacuum is occluded, the pressure on the gauge should

A

Increase

37
Q

Vacuum suction absent?

A

Leak

38
Q

Vacuum can’t maintain pressure?

A

Leak

39
Q

A suction catheter size should never be

A

Greater than half of ID

40
Q

Dysrhythmias seen in suctioning indicative of hypoxia

A

Tachycardia/PVCs

41
Q

How to tell if pt has Epiglottitis

A

Drooling

42
Q

If pt has high peep, what kind of suction should you use and what value of PEEP will you see?

A

Closed system suction
>10 cmH2O

43
Q

NPAs can help

A

Decrease mucosal trauma in long term nasotracheal suctioning

44
Q

Closed (in-line) sx catheter indications

A

High vent requirements (PEEP >10, MAP >20, I time >1.5 sec, FiO2 >60%)
Frequent sx required
Hemodynamic instability
Active TB
Inhaled agents

45
Q

Aw irritation from sx can lead to

A

Bronchospasm (wheeze)

46
Q

Vent requirements indicating in-line suctioning

A

PEEP >10
MAP >20
I time >1.5 sec
FiO2 >60%

ARTP (9 decks)

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