TRACHE SUCTIONING Flashcards
Why is suctioning often necessary in patients with a tracheostomy or ET tube?
Because of the decreased effectiveness of the cough mechanism, making it necessary to remove secretions.
When is tracheal suctioning typically performed?
When adventitious breath sounds are detected or when secretions are obviously present.
What risks are associated with unnecessary suctioning?
It can initiate bronchospasm and cause mechanical trauma to the tracheal mucosa.
Why must all equipment used for tracheal suctioning be sterile?
To prevent sepsis.
What is an in-line suction catheter, and when is it used?
An in-line suction catheter is used in mechanically ventilated patients to allow rapid suctioning while minimizing cross-contamination by airborne pathogens.
What are the benefits of using a closed (in-line) suctioning system?
It decreases hypoxemia, sustains PEEP, and can reduce patient anxiety associated with suctioning.
Is personal protective gear usually required for closed suctioning?
No, closed suctioning can usually be performed without personal protective gear.
What should be ensured in the home prior to discharging a patient with a tracheostomy tube?
That suction and other appropriate equipment are in place in the home.
What daily care education should be provided to patients and families with a tracheostomy?
Education should include infection prevention techniques and emergency measures.
What home modifications can help make breathing easier for a patient with a tracheostomy?
Minimizing dust and particles by removing drapes and upholstered furniture, using air filters, and frequently washing floors, dusting, and vacuuming.
What are some community resources that may benefit a patient with a tracheostomy?
Community contacts for education, support groups, and resources for transitional care and equipment management.
What is the nurse’s role in preparing a patient with a tracheostomy for home care?
The nurse assesses the patient’s and family’s ability to provide safe care, educates on infection prevention and emergency measures, and identifies appropriate community resources.
What is the purpose of humidification for tracheostomy patients at home?
Adequate humidification helps make breathing easier by preventing airway dryness and irritation.
Why might a nurse refer a tracheostomy patient for home, community-based, or transitional care?
To provide ongoing assessment and support for the patient and family in managing the tracheostomy safely and effectively at home.
