airwaysuctioning-150627145142-lva1-app6892.pdf
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This document discusses suctioning, which involves using a catheter connected to a suction machine to aspirate secretions. It describes the different sites where suctioning can be performed, including oropharyngeal, nasopharyngeal, endotracheal, and tracheostomy sites. The purposes, indications, equipment, procedure steps, documentation, complications, and tips for safe suctioning are outlined in detail.
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Suctioning
Suctioning is a procedure used to clear secretions from the trachea of patients who cannot cough effectively. It has both therapeutic and diagnostic purposes. Therapeutically, suctioning is indicated when a patient has coarse breath sounds, noisy breathing, visible secretions, decreased oxygen levels, or inability to cough. It aims to clear secretions and improve breathing. There are risks like hypoxia, trauma, bleeding, and dysrhythmias. Suctioning can be open or closed. Open suction is regularly used for intubated patients while closed suction allows for continued ventilation. The procedure involves preparing the patient, setting the suction regulator, inserting and rotating the catheter while applying suction, and assessing the patient
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OUTLINES:
1- Definition of suctioning .
2- Sites for suction .
3- Deferent between oropharyngeal / nasopharyngeal suctioning and endotracheal / tracheostomy suctioning .
4- Purposes for suctioning .
5- Indications for suctioning.
6- Choosing the right size catheter.
7- Setting the correct pressure .
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9- Documentation.
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11- Techniques to minimize or decrease the complications .
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This document provides instructions for performing suctioning of artificial airways including a tracheostomy and endotracheal tube. It lists the necessary equipment, describes pre-procedure, intra-procedure, and post-procedure steps. The pre-procedure involves identifying the patient, explaining the procedure, preparing equipment and positioning the patient. Intra-procedure involves inserting the suction catheter, applying intermittent suction, and assessing the patient. Post-procedure includes documenting findings, caring for equipment, and monitoring the patient. Similar steps are outlined for performing oral and nasal suctioning.
AIRWAY SUCTIONING - Aspirating secretion
This document discusses suctioning, including defining suctioning, listing sites where it can be performed, purposes, indications, equipment, procedure steps, documentation, and complications. It describes differences between oropharyngeal/nasopharyngeal suctioning versus endotracheal/tracheostomy suctioning. Key details covered include choosing the right catheter size, setting appropriate pressure levels, and techniques to minimize complications. The overall goal is to effectively remove secretions from the respiratory tract while avoiding potential harms.
Suction machines- Applications and Maintenance
Suction machines (also known as aspirators) are used to remove unwanted fluid from body cavities. They are found in operating theatres, delivery suites, ENT and emergency departments. Smaller specialised suctions are used in dental departments.
How it works
Suction is generated by a pump. This is normally an electrically powered motor, but manually powered versions are also often found. The pump generates a suction that draws air from a bottle. The reduced pressure in this bottle then draws the fluid from the patient via a tube. The fluid remains in the bottle until disposal is possible. A valve prevents fluid from passing into the motor itself.
Thoracentesis medical surgical nursing
Thoracentesis is a procedure to remove fluid or air from the pleural cavity through insertion of a needle into the chest wall. It is indicated for conditions such as pleural effusion, pneumonia, or trauma. The nurse prepares equipment like syringes, needles, and specimen containers and assists the physician by administering local anesthetic, observing for complications, and providing aftercare like monitoring for bleeding or infection. Precise technique and positioning are important to safely drain fluid and avoid injuries to lungs during the procedure.
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This document provides information on tracheostomy care including:
- The risks of tracheostomy include infection, internal bleeding, and loss of speech.
- Pre-op care involves sedation, NPO after 2200 hours, blood tests, consent forms and ensuring communication methods.
- Post-op care consists of tracheostomy tube cleaning daily, suctioning secretions, monitoring oxygen levels, and giving medications like antibiotics and analgesics.
- Proper tracheostomy care is needed to prevent complications and keep the site infection-free.
Nebulization
Nebulization involves administering drugs by inhalation through an electric or ultrasonic nebulizer that breaks liquid medications into fine mist. It is commonly used to deliver bronchodilators for asthma attacks. Other indications include administering antibiotics or analgesics to infants/children, aiding expectoration, and providing local lung analgesia. Proper preparation of the nebulizer, medications, patient, and environment is required. During treatment, the patient sits upright and breathes slowly and deeply through the mouthpiece for 15-20 minutes while monitored for complications like increased heart rate or wheezing. Outcomes such as loosened secretions are documented.
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- 1. Prepared by : Mr. M. Shivanandha Reddy
- 2. Suctioning Definition Aspirating secretion through a catheter connected to a suction machine or wall suction outlet.
- 6. Oropharyngeal & Nasopharyngeal suctioning Endotracheal & Tracheostomy suctioning Remove secretion from the upper respiratory tract . Remove secretion from the trachea and bronchi or the lower respiratory tract .
- 7. Tracheal/ Endotracheal suction Oral / Nasal suction 1- maintain oral/ nasal hygiene. 2- comfort for the patient. 3- remove blood and vomit in an emergency situation. Remove pulmonary secretions in patients who are unable to cough and clear their own secretions effectively. P U R P O S E S of S u C T I O N I N G
- 8. Oropharyngeal and Nasopharyngeal suctioning required for: 1- Patient who has undergone head and neck surgery. 2- Signs of respiratory distress . 3- Evidence of unable to cough up and expectorate secreations . Indications
- 9. 5- Obtain sample of secretion for diagnostic purposes 6- Prevent infection. Tracheal suctioning required for : 1- Patients unable to clear their secretions themselves. 2- patients with mechanical ventilation.
- 10. Abnormal respiratory rate . Adventitious sounds on inspiration or expiration . Nasal secretions . Gurglin . Drooling . Restlessness . Gastric secretions or vomitus in mouth . Coughing without clearing secretions from .
- 11. Wall Unit Portable Unite Adult 100to 120 mm Hg . 10 to 15 mm Hg Child 95 to 110 mm Hg . 5 to 10 mm Hg Infant 50 to 95 mm Hg . 2 to 5 mm Hg Setting the Correct Pressure
- 12. The procedure E Q U I P M E N T 1- Towel or moisture resistant pad . 2- Portable or wall suctioning machine with tubing and collection receptor. 3- sterile disposable container for fluids . 4- Sterile normal saline or water.
- 13. E Q U I P M E N T The procedure Cont ’ 5- Sterile gloves . 6- Goggles or face shield . 7- Sterile Suction Catheter (12-14 F for adults & 8-10 F for children) . 8- Water – soluble lubricant . 10- Sterile gauzes. 11- Moisture resistant disposable bag. 12- Sputum cup .
- 14. Before beginning, 1. Check your facility's Doctor’s order 2. Review the patient’s blood gas values 3. Check vital signs 4. Evaluate the patient’s ability to cough & deep-breathe to determine her ability to move secretions
- 15. Explain the procedure to the patient even if she is unresponsive Inform her that suctioning may stimulate transient coughing or gagging {tell that coughing helps to mobilize secretions} Reassure the patient through out the procedure to minimize anxiety & fear which can increase oxygen consumption
- 16. The procedure Cont ’ •Wash your hands •Place the patient in semi-fowler's or high fowler’s position, to promote •lung expansion & effective coughing •Turn on the suction from the portable unit
- 17. The procedure Cont ’ Set the pressure according to your facility's policy The pressure is usually set between 80 & 120 mm hg; (higher pressure cause excessive trauma without enhancing secretion removal.) Occlude the end of the connection tubing to check suction pressure .
- 18. Using strict aseptic technique, open the suction catheter kit, disposable container & gloves Consider your dominant hand sterile & your non dominant hand non sterile Using your non dominate hand, pour the sterile water or saline into the sterile container
- 19. - With your non dominant hand, place a small amount of water- soluble lubricant on the sterile area. The lubricant is used to facilitated passage of the catheter during nasopharyngeal suctioning .
- 20. Pick up the catheter with your dominant (sterile) hand, & attach it to the connecting tubing Use your non dominant hand to control the suction valve while your dominant hand manipulates the catheter.
- 21. Instruct the patient to cough & breathe slowly & deeply several times before beginning suction. Coughing helps loosen secretions & may decrease the amount of suctioning necessary. Apply intermittent suction for no more than 5 seconds by placing and releasing non- dominant thumb over vent of catheter
- 22. Slowly withdraw catheter while rotating it back and forth between the dominant thumb and forefinger. Encourage patient to cough . Replace oxygen device if applicable
- 23. Documentation • Record the procedure : The amount . Consistency . Color . Odor of the mucus . Client breathing status before and after. •
- 25. Never suction more than 10 seconds at a time to prevent hypoxia Do not apply suction pressure during insertion catheter Pre-oxygenate the patient Wait 3 minutes interval before each suction Use gentle insertion & manipulation of catheter Lubricate catheter before to inserting Monitor pt’s pulse
- 26. Follow strict aseptic technique Suction patient only when needs