Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Practice 2 - Cardiorespiratory > Week 8 - Suctioning/ Manual Hyperinflation > Flashcards

Week 8 - Suctioning/ Manual Hyperinflation Flashcards

1
Q

What is the recommended pressure for suctioning?

A

80-120 mmHg (11-16kPa), can go up to 20kPa for thick secretions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two methods of suctioning for ventilated patients?

A

Open

Closed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name some possible complications of suctioning

A 
Hypoxia
Bronchospasm
Infection
Vasovagal stimulation/ arrhythmia
Tissue trauma
Atelectasis
Increased ICP
Changes to BP
Pneumothorax
Anxiety
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How can you minimise the risk of complications?

A 
Pre/post O2
Limit to 10-15s
Correct catheter size
Correct suction pressure
Do not trombine/twist catheter
Sterile technique
Obs pre/during/post
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do you choose the correct size of catheter?

A

ET or trachy tube size -2 ) x2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Briefly describe the suctioning technique

A 
Pre oxygenate with 100%
Insert catheter gently into airway as far as it will go
Stop when you reach resistance
Withdraw slightly
Withdraw using continuous suction
Immediately reattach
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe two ways of suctioning non-ventilated patients

A

NP with or without artificial airway

Guedel oral airway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When should NP suctioning be performed?

A 
Visible/audible secretions
Decreased O2 sats
Increased O2 requirements
Poor cough
Reduced breath sounds
Signs of distress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What size catheter should you use for NP suctioning?

A

Size 10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe contra-indications to NP suctioning

A 
BOS fractures
CSF leak
Nasal fractures
Stridor
Severe bronchospasm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe some precautions to NP suctioning

A 
Ca high in respiratory or GI tract
Recent high GI or oesophageal surgery
Pulmonary oedema
Unstable CVS
High ICP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Briefly describe the MIH technique

A 
Connect to O2 and start flow
Connect bag to patient
Deliver 3-4 normal TV breaths
Then give 1 MIH breath with or without a hold
Quickly release bag to mimic huff
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Name complications of MIH

A

Barotrauma
Hypoxia
Depression of resp drive
CV instability due to increased intrathoracic pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Give some absolute contra-indications to MIH

A

Severe bronchospasm
PEEP >15cm H20
Undrained pneumothorax
Bullae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Give some precautions to MIH

A 
Low/high/unstable BP
Cardiac arrhythmias
High peak airway pressures
Bronchospasm
Peep 10-14 cmH20
Pneumothorax with bubbling chest drain
High FiO2/ TV
Increased ICP
Post lung surgery
Weaning patients
How well did you know this?
1
Not at all
2
3
4
5
Perfectly

Clinical Practice 2 - Cardiorespiratory (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions