SUCTIONING

Question 1

involves the aspiration of secretions through a catheter connected to a suction machine or wall suction outlet

Answer 1

suctioning

Question 2

purposes of suctioning

Answer 2

• remove secretion
• facilitate ventilation
• obtain secretions for diagnostic purposes
• prevent infection

Question 3

what happens if you perform suctioning too frequently?

Answer 3

increased secretions, and O2 saturation drops

Question 4

provides closer access to the trachea and requires sterile technique

Answer 4

oro/nasotracheal suctioning

Question 5

requires sterile technique

Answer 5

tracheal suctioning

Question 6

flexible, made of plastic, and be either open tipped or whistle tipped. The whistle tipped catheter is less irritating to respiratory tissues, although the open tipped catheter can be more effective for removing thick mucus plugs

Answer 6

suction catheter

Question 7

used to suction the oral cavity

Answer 7

oral suction tube / yankuer

Question 8

suction catheter size for adults

Answer 8

12-18 French

Question 9

suction catheter size for children

Answer 9

8-10 French

Question 10

suction catheter size for infants

Answer 10

5-8 French

Question 11

position for conscious client

Answer 11

semi fowlers

Question 12

position for unconscious client

Answer 12

lateral position facing the nurse

Question 13

proper pressure of suction

Answer 13

high enough to clear secretions but not too high

Question 14

what happens if too high pressure is used?

Answer 14

catheter adheres to tracheal wall and cause irritation

Question 15

a suction attempt should only last ___ seconds

Answer 15

10-15 seconds

Question 16

technique used in suctioning

Answer 16

sterile

Question 17

___ instillation DOES NOT facilitate removal of secretions and causes adverse effects such as hypoxemia and increased risk of pneumonia

Answer 17

saline

Question 18

this involves giving the client breaths that are greater than the tidal volume set on the ventilator through the ventilator circuit or via a manual resuscitation bag.

Answer 18

hyperinflation

Question 19

this involves increasing the number of breaths the client is receiving. This can be done through the ventilator or using a manual resuscitation bag.

Answer 19

hyperventilation

Question 20

this can be done with a manual resuscitation bag or through the ventilator and is performed by increasing the oxygen flow (usually to 100%) before suctioning and between suction attempts. This is the best technique to avoid suction-related hypoxemia

Answer 20

hyperoxygenation

Question 21

• disconnecting the client from ventilator
• suction the airways
• reconnect the client to ventilator

Answer 21

open suction system

Question 22

suction catheter attaches to ventilator

Answer 22

closed suction system

Question 23

recommended suction pressure for open suction system

Answer 23

100-120 mmHg

Question 24

if the client does not have copious secretions, what do you do before suctioning?

Answer 24

hyperventilate the lungs with a resuscitation bag

Question 25

if the client has copious secretions, what do you do before suctioning?

Answer 25

increase the FiO2 to 100% for several breaths