Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

ARTP > 05: Suctioning > Flashcards

05: Suctioning Flashcards

(46 cards)

Start Studying
1
Q

Equipment for sterile-hand suctioning

A

Sterile gloves, saline, sx source, bag mask w O2, protective equipment

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

Equipment for in-line closed system suctioning

A

gloves, saline, sx source, bag mask w O2, protective equipment

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

Equipment for sterile-hand suctioning per ET and trach tube

A

Sterile gloves, saline, sx source, bag mask w O2, protective equipment, suction catheter

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

How to determine correct size of suction catheter for ET/trach

A

ID x 2 then size next even number down

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

Purpose of coudé catheter

A

Guide suction catheter in L or R mainstem

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

Purpose of sputum trap

A

Collect sample?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Purpose of endotracheal suctioning

A

Maintain patent airway by
-moving secretions, food, foreign body out of aw
-pulmonary hygiene with cough

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

Physical findings indicative of needing suction

A

Rhonchi
Visible secretions
Increased dyspnea/respiratory distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pt types requiring suctioning

A

Nervous system depression
Artificial airway
Inability to take a deep breath
Thick secretions, pain, postop

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

Negative pressure ranges

A

Infant: -80 to -100
Child: -100 to -120
Adult: -120 to -150

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Indications for lavage solutions during suction

A

Thick, tenacious, secretions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Types of solutions for lavage

A

Normal saline
Mucomyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Appropriate time for lavage during procedure

A

Completely prepped for insertion and suction

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

Lavage solution for sputum sample

A

Normal saline

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

What to monitor during suctioning

A

BS
O2 sats
Resp rate/pattern
HR, BP
EKG
Cough effort
ICP (if installed)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

General suctioning procedure

A

Preoxygenate pt (100%)!!!!!!
Insert -> resistance-> withdraw 1-2 cm -> intermittent suctioning
<15 seconds in aw!!!!!
Twist as u withdraw
Maintain sterility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Relative contraindications of nasotracheal suctioning

A

Blocked nasal passage
Epistaxis
Acute facial, neck, or head injury
Upper aw infection
Irritable aw
Laryngospasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Preventing hypoxemia during suctioning

A

Hyperoxygenate greater than or equal to 1 min
No longer than 10-15 sec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Vagal stimulation causes and how to prevent

Study These Flashcards
A

Bradycardia
Quick/gentle
Appropriate vacuum pressure

20
Q

Dysrhythmias in suctioning are caused by and present as

Study These Flashcards
A

Hypoxia
Tachycardia/PVCs

21
Q

How to prevent dysrhythmias in suctioning

Study These Flashcards
A

10-15 sec to suction

22
Q

Preventing trauma in suctioning

Study These Flashcards
A

Use lowest pressure possible (w/in range)

23
Q

Other complications/hazards of suctioning

Study These Flashcards
A

Hemoptysis
Atelectasis
Bronchospasm

24
Q

Preventing mucosal trauma in nasotracheal suctioning

25
How to prevent infection in nasotracheal suctioning
Maintain sterility/be gentle
26
How to prevent arrhythmias in nasotracheal suctioning
Maintain oxygenation/vent Time is within 10-15 sec
27
Suctioning at home
Clean procedure Boiled/distilled water to rinse -> air dry -> store in dry/clean area (use up to 24 hrs) Vinegar 1:3 for 60 min Boiling water 70% isopropyl for 5 min Watch for fever and change in color of sputum
28
Absolute contraindications of suctioning and what to use
Epiglottitis Croup Nasotracheal
29
Retained secretions can lead to
Increased WOB and Raw Atelectasis Hypoxemia Hypercapnia Pulmonary infections
30
Oral suctioning is
Catheter -> mouth
31
Nasotracheal suctioning
Catheter -> nares
32
Sterile-hand suctioning
Sterile technique -> catheter -> trachea
33
Oropharynx suctioning
Upper airway Yaunker
34
If a pt is on oxygen with an open airway, what should you do with the O2 device during tracheal/bronchial suctioning
Remove
35
If a patient has a closed airway (vent), what should be done with O2 during lower airway suctioning?
Leave them on O2 and use in-line
36
When vacuum is occluded, the pressure on the gauge should
Increase
37
Vacuum suction absent?
Leak
38
Vacuum can’t maintain pressure?
Leak
39
A suction catheter size should never be
Greater than half of ID
40
Dysrhythmias seen in suctioning indicative of hypoxia
Tachycardia/PVCs
41
How to tell if pt has Epiglottitis
Drooling
42
If pt has high peep, what kind of suction should you use and what value of PEEP will you see?
Closed system suction >10 cmH2O
43
NPAs can help
Decrease mucosal trauma in long term nasotracheal suctioning
44
Closed (in-line) sx catheter indications
High vent requirements (PEEP >10, MAP >20, I time >1.5 sec, FiO2 >60%) Frequent sx required Hemodynamic instability Active TB Inhaled agents
45
Aw irritation from sx can lead to
Bronchospasm (wheeze)
46
Vent requirements indicating in-line suctioning
PEEP >10 MAP >20 I time >1.5 sec FiO2 >60%

ARTP (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions