Podcast
Questions and Answers
What is the primary purpose of using a nasopharyngeal airway?
What is the primary purpose of using a nasopharyngeal airway?
Who is authorized to insert a nasopharyngeal airway?
Who is authorized to insert a nasopharyngeal airway?
What should be anticipated when planning to use a nasopharyngeal airway?
What should be anticipated when planning to use a nasopharyngeal airway?
Which of the following is NOT a characteristic of a nasopharyngeal airway?
Which of the following is NOT a characteristic of a nasopharyngeal airway?
Signup and view all the answers
What is essential to consider before using a nasopharyngeal airway?
What is essential to consider before using a nasopharyngeal airway?
Signup and view all the answers
What is the primary purpose of suctioning in a clinical setting?
What is the primary purpose of suctioning in a clinical setting?
Signup and view all the answers
Which of the following is a key difference between oropharyngeal/nasopharyngeal suctioning and endotracheal/tracheostomy suctioning?
Which of the following is a key difference between oropharyngeal/nasopharyngeal suctioning and endotracheal/tracheostomy suctioning?
Signup and view all the answers
What is the primary purpose of suctioning in patients with an artificial airway?
What is the primary purpose of suctioning in patients with an artificial airway?
Signup and view all the answers
Which of the following sites can suctioning be performed?
Which of the following sites can suctioning be performed?
Signup and view all the answers
Which of the following sites is NOT commonly used for suctioning?
Which of the following sites is NOT commonly used for suctioning?
Signup and view all the answers
What is the sequence of events in the suctioning procedure?
What is the sequence of events in the suctioning procedure?
Signup and view all the answers
What are common indications for performing suctioning?
What are common indications for performing suctioning?
Signup and view all the answers
Which term best describes the act of removing fluid or secretions from the airway?
Which term best describes the act of removing fluid or secretions from the airway?
Signup and view all the answers
Which suction tube is specifically mentioned for its rigidity?
Which suction tube is specifically mentioned for its rigidity?
Signup and view all the answers
Which type of airway is generally associated with the need for tracheostomy suctioning?
Which type of airway is generally associated with the need for tracheostomy suctioning?
Signup and view all the answers
What factors should be recorded in the procedure regarding mucus assessment?
What factors should be recorded in the procedure regarding mucus assessment?
Signup and view all the answers
Why is it important to assess breathing status before and after mucus examination?
Why is it important to assess breathing status before and after mucus examination?
Signup and view all the answers
Which element is NOT part of the mucus assessment procedure?
Which element is NOT part of the mucus assessment procedure?
Signup and view all the answers
What does evaluating the color of mucus indicate?
What does evaluating the color of mucus indicate?
Signup and view all the answers
What should be compared in the evaluation of mucus?
What should be compared in the evaluation of mucus?
Signup and view all the answers
What method is mentioned for estimating the NPA length?
What method is mentioned for estimating the NPA length?
Signup and view all the answers
What is stated about the validation of the NPA length estimation method in adults?
What is stated about the validation of the NPA length estimation method in adults?
Signup and view all the answers
Which part of the anatomy is NOT involved in estimating the NPA length according to the provided method?
Which part of the anatomy is NOT involved in estimating the NPA length according to the provided method?
Signup and view all the answers
Which other method could be misleading if used for estimating NPA length?
Which other method could be misleading if used for estimating NPA length?
Signup and view all the answers
Why might the estimation of NPA length from the nose to the tragus be significant in clinical practice?
Why might the estimation of NPA length from the nose to the tragus be significant in clinical practice?
Signup and view all the answers
Which of the following parameters is NOT typically monitored during the procedure?
Which of the following parameters is NOT typically monitored during the procedure?
Signup and view all the answers
What is the purpose of using sterile normal saline in the equipment assembly for the procedure?
What is the purpose of using sterile normal saline in the equipment assembly for the procedure?
Signup and view all the answers
Which of the following is NOT a hemodynamic parameter to be monitored?
Which of the following is NOT a hemodynamic parameter to be monitored?
Signup and view all the answers
In the assembly of equipment for the procedure, which item is specifically used for pre and post oxygenation?
In the assembly of equipment for the procedure, which item is specifically used for pre and post oxygenation?
Signup and view all the answers
Which of the following parameters would provide information about the patient's respiratory effort?
Which of the following parameters would provide information about the patient's respiratory effort?
Signup and view all the answers
Study Notes
Respiratory Care Science 2: Suctioning
- Course instructor: DR:MOHAMMED-SENAN
- Course Year: 2nd
- Course dates: 21-Dec-24 - 24-Dec-24
- Topic: Suctioning
- Airway Clearance (Suctioning) is a procedure that removes airway secretions or foreign material using negative pressure.
- Yankauer Suction Catheter: A rigid suction device used for oropharyngeal suction.
- Oropharyngeal Suction (OP): Requires an airway adjunct (e.g., Guedel airway). Should not be done regularly but is useful for intubated/ventilated patients.
- Nasopharyngeal Suction (NP): Can be done directly through the nostril without an airway adjunct. A nasopharyngeal airway may be used for repeated suctioning, but insertion is only by trained personnel. Suction involves mechanically removing pulmonary secretions from a patient with an airway. The procedure includes patient preparation, suctioning, and follow-up care.
- Sites for Suctioning: Oropharyngeal, Nasopharyngeal, Tracheostomy, and Endotracheal.
- Rigid Yankauer Suction Tube: A pictured example of a rigid suction device.
- Differences Between Oropharyngeal/Nasopharyngeal and Endotracheal/Tracheostomy Suctioning: Oropharyngeal/Nasopharyngeal suctioning removes secretions from the upper respiratory tract, while endotracheal/tracheostomy suctioning removes secretions from the lower respiratory tract (trachea and bronchi).
- Purposes of Suctioning: Oral/Nasal suctioning is used to maintain oral/nasal hygiene, comfort, and emergency removal of blood or vomit. Tracheal/Endotracheal suctioning maintains a patent airway by removing tracheobroncheal secretions, prevents lower respiratory tract infection, provides effective ventilation, and stimulates coughing.
Terminology
-
Airway Suction: Removal of airway secretions by artificial means.
-
Yankauer Suction Catheter: A rigid suction tip used to aspirate secretions from the oropharynx.
-
Oropharyngeal Suction: Requires an airway adjunct and is used to remove secretions from the oropharynx.
-
Nasopharyngeal Suction: Can be via the nostril without an airway adjunct for removing secretions from the nasopharynx.
Definition
- Nasopharyngeal Suction: direct suction through the nostril without an airway adjunct. Should be done by trained personnel.
- Suction: Mechanical aspiration of pulmonary secretions from a patient with an airway.
Sites for Suctioning
- Oropharyngeal, Nasopharyngeal, Tracheostomy, Endotracheal
Choosing the Right Size Catheter
- Adults: #12 to #18
- Children: #8 to #10
- Infants: #5 to #8
- Catheter size is critical. Correct size tracks from the patient's mouth to the jaw angle. Incorrect size can cause tongue obstruction.
- Estimating NPA length: distance from the nose tip to the tragus of the ear (validated in children, not fully in adults)
Setting the Correct Pressure
- Pressure varies by age and equipment:
- Adult (Wall unit): 100 to 120 mm Hg
- Adult (Portable): 10 to 15 mm Hg
- Child (Wall unit): 95 to 110 mm Hg
- Child (Portable): 5 to 10 mm Hg
- Infant (Wall unit): 50 to 95 mm Hg
- Infant (Portable): 2 to 5 mm Hg
Types of ET Suctioning
- Closed Suction: Minimizes contamination by staying disconnected from the ventilator.
- Open Suction: Catheter is placed in the endotracheal tube, after removing the patient from the ventilator.
Patient Preparation
- Explain the procedure to a conscious patient
- Hyperoxygenate with 100% oxygen for 30 seconds before suctioning.
- Position the patient supine.
- Auscultate breath sounds before, during, and after
Assessment
- Monitor breath sounds, oxygen saturation, respiratory rate and pattern, hemodynamic parameters (pulse rate, blood pressure).
- Cough effort.
- ICP (if appropriate)
- Sputum characteristics (color, volume, consistency, odor)
- Ventilator parameters (PIP, Vt, FiO2)
Equipment Assembly
- Stethoscope
- Vacuum source with adjustable regulator/suction jar
- Sterile gloves
- Sterile suction catheter
- Protective goggles/apron/mask
- Sterile normal saline
- AMBU bag for pre/post oxygenation
Documentation
- Record the amount, consistency, color, and odor of mucus.
- Note client breathing status before and after procedure.
Complications
- Hypoxia
- Tracheal or bronchial mucosal trauma
- Cardiac or respiratory arrest
- Pulmonary hemorrhage/bleeding
- Cardiac dysrhythmias
- Pulmonary atelectasis
- Bronchospasm
- Hypotension/hypertension
- Elevated ICP
References
- Provided in slide 28. Lists relevant books.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz focuses on the key concepts of suctioning procedures in respiratory care. Topics include oropharyngeal, nasopharyngeal, and tracheostomy suctioning techniques, as well as the use of Yankauer suction catheters. Test your knowledge on patient preparation and follow-up care for effective airway clearance.
