Suctioning

Question 1

What is the purpose of suctioning?

Answer 1

To promote airway patency.

Question 2

Nursing Consideratons

Answer 2

1) auscultate for breath sounds - CRACKLES
2) Position:
• Unconscious: SL
• Conscious: SF
3) Size of Catheter:
Adult: FR 12 - 18
Child: FR 8 - 10
Infant: 5 - 8

4) Pressure

Wall Unit ⬆️
Infant: 50 - 95 mmhg
Child: 95 - 100 mmhg
Adult: 100 - 120 mmhg

Portable Unit ⬇️
Infant: 2 - 5 mmhg
Child: 5 - 10 mmhg
Adult: 10 - 15 mmhg

5) Hyper-oxygenate 100%
6) Wear: STERILE GLOVES
7) Lubricant:
a) Nasopharyngeal: H20 based
b) PNSS - prevent cell irritation & fluid shifting

8) Length of Insertion: nose ➡️ earlobe
      5 inches (12 - 15 cm)
9) Introduce suction catheter without suction
10) Time 
a) N: 5 - 10 secs (ideal) / 10 - 15 secs
b) Interval: 20 - 30 secs
c) Maximum: 3 - 5 mins

• prevent HYPOXIA & HYPOXEMIA
  11) withdraw suction catheter w/ circulating & rotating motion - to prevent drainage mucus membrane

12) ORAL CARE
13) before & after: hyper-oxygenate
14) Auscultate breath sounds: BRONCHOVESICULAR BS

Question 3

1. AUSCULTATE FOR:

Answer 3

breath sounds - CRACKLES

Question 4

2. Position of PT.

Answer 4

Unconscious: SL
Conscious: SF

Question 5

3. Size of Catheter

Answer 5

Infant: 5 - 8
Children: 8 - 10
Adult: 12 - 18

Question 6

4. Pressure

Answer 6

Wall Unit (mmHg)
Infant: 50 - 90
Child: 95 - 100
Adult: 100 - 120

Portable Unit:
Infant: 2 - 5
Child: 5 - 10
Adult: 10 - 15

Question 7

5) Hyperoxygenate

Answer 7

100%

Question 8

6) What gloves will you wear?

Answer 8

Sterile Gloves

Question 9

7) Lubricant

Answer 9

a) Nasopharyngeal: water based

b) Oropharyngeal: PNSS (isotonic sol’n) - prevents cell irritation & fluid shifting

Question 10

8) Length of Insertion

Answer 10

nose ➡️ earlobe (5 inches)

Question 11

9) Introduce suction catheter without suction

Question 12

10) Time

Answer 12

a) N: 5 - 10 secs (ideal) / 10 - 15 secs
b) Interval: 20-30 secs
c) Maximum: 3 - 5 mins

to prevent hypoxia / hypoxemia

Question 13

11) WHAT WILL YOU DI NEXT

Answer 13

Gently withdraw catheter in circular & rotating motion to prevent drainage of mucus membrae

Question 14

12) Perform:

Answer 14

ORAL CARE

Question 15

13) What will you do before and after?

Answer 15

Hyper-oxygenate

Question 16

14) Auscultate for breath sounds

Answer 16

BRONCHOVESICULAR BREATH SOUND