Chapter 9 suctioning

Question 1

suctioning

Answer 1

the method of using vacuum device to remove such materials

Question 2

suctioning devices

Answer 2

• mounted suction systems
• portable suction units
• techniques of suctioning

-units must have a suction amount of 30 liters per min and 300 mmhg

Question 3

portable suction units

Answer 3

usually installed near the patient compartment, and near head of the patient stretcher.

• oxygen, air powered, battery powered or manual powered
• suction amount for portable (30 liters per min, 300 mm hg)

Question 4

tubing, tips, and catheters

Answer 4

to operate equipment, the proper attachments are required.

tubing

suction tips

suction catheters

collection container

container of clean or sterile water

Question 5

tubing must be_____

Answer 5

• thick walled
• non kinking
• wide bore tubing

to be sure tubing doesn’t collapse, and allow chunks to pass through

Question 6

Yankauer or rigid tip

most popular type of suction tip

Answer 6

the rigid pharyngeal tip (yankauer, tonsil sucker or tonsil tip)

-has larger bore than flexible catheters

dangers of use
-may stimulate the vagus nerve in the back of the pharynx causing a reduced heart rate

Question 7

suction catheters

Answer 7

flexible plastic tubes.

• sizing is in “french” (larger the number, larger the diameter of tube)
• usually not large enough to suction vomit, or thick secretions that may kink
• may be passed through a tube like the nasopharyngeal or a endotracheal tube

container of clean sterile water is needed to clean tips

Question 8

suction time limit

Answer 8

apply suction for no more than 10 seconds to avoid hypoxia and potentially death

Question 9

the 3 rules during suction

Answer 9

1 - always use infection control while suctioning

2 - limiting suction to 10 min (due to hypoxia)

3 - place tip of suction tip or catheter at furthest suction point, and suction on the way out of cavity

suction is best delivered with patient on side (recovery position)

Question 10

facial injuries

Answer 10

blood supply to the face is very rich
-blunt and penetrating injuries to the face frequently result in severe swelling or bleeding that may block/partially block an airway

Question 11

obstructions

Answer 11

many suction units are not sufficient to remove solid objects (teeth, food, other objects)

Question 12

dental appliances

Answer 12

dentures that are secure should be left in place

be prepared to remove something if it has the chance to become dis lodged and pose a threat to the air way.