[go: up one dir, main page]
Scribd
Upload
185 views19 pages

EP7 - ET Suctioning Slideshow

This document outlines the procedure for nasopharyngeal and oropharyngeal suctioning. It describes obtaining the necessary equipment, positioning the patient, lubricating and inserting the suction catheter into the nasal cavity until the gag reflex is triggered, and suctioning secretions using a circular motion. Oropharyngeal suctioning uses a Yankauer suction handle to clear the mouth. Documentation includes details of secretions, patient response like breath sounds and oxygen levels, and potential complications.

Uploaded by

Yashodhara Ghosh Sen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
185 views19 pages

EP7 - ET Suctioning Slideshow

This document outlines the procedure for nasopharyngeal and oropharyngeal suctioning. It describes obtaining the necessary equipment, positioning the patient, lubricating and inserting the suction catheter into the nasal cavity until the gag reflex is triggered, and suctioning secretions using a circular motion. Oropharyngeal suctioning uses a Yankauer suction handle to clear the mouth. Documentation includes details of secretions, patient response like breath sounds and oxygen levels, and potential complications.

Uploaded by

Yashodhara Ghosh Sen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 19

Procedure:

Nasopharyngeal and oral suctioning


Clinical indicators for suctioning:
 Difficulty clearing
secretions
 Dysphagia
 Aspiration
Nasotracheal suctioning
 Obtain Suction Catheter
Kit (with saline).
 Calmly explain procedure
to patient.
 Place the patient in semi-
fowlers position (45%) if
not contraindicated.
 Hyper oxygenate patient if
ordered.
 Open suctioning kit
and don sterile gloves.
 Pick up the suction
catheter with
dominant hand
without touching non-
sterile surfaces.
 Pick up connecting
tubing with non-
dominant hand.
 Secure catheter to tubing.
 Set suction level on
gauge to 100-150mmHg
 Check for proper
equipment functioning
by suctioning small
amount of NSS from
basin.
 Lightly coat distal end of
catheter (6-8
centimeters) with water-
soluble lubricant.
 Advance catheter into
nasal cavity with suction
port open until patient
experiences gag reflex.
 Discontinue if
resistance is met.
 Begin suctioning by
depressing and releasing
suctioning port, using
swift, steady, circular
motion (not to exceed 15
seconds).
 Remove catheter with suction port open and rinse with
sterile water to clear tubing.
 Maximum number of suction attempts 3
 Allow 30 seconds to 1 minute between attempts to
suction to allow reoxygenation and reventilation.
• Patients who have
nasopharyngeal
bleeding or spinal fluid
leaking in to the
nasopharyngeal area. CAUTION
• Those who are receiving
anti-coagulation
therapy.
• Blood dyscrasia – high
risk of bleeding.
Oropharyngeal suctioning
 Obtain Yankauer suction
handle and tubing.
 Attach handle to tubing,
and tubing to wall
suction.
 Apply clean disposable
gloves.
 Insert tip of Yankauer
suction handle in
patient’s mouth.
 With suction applied,
move tip around the
mouth until secretions
are cleared.
 Clear the Yankauer tip
with water.
 Place catheter tip in
clean, dry area for reuse.
Documentation
 Date
 Time
 Amount
 Color and
characteristic of
sputum
 Patient’s response
Patient’s Response
 Auscultate breath
sounds
 Normal ?
 Stridor ?
 Coarse Rhonci ?
 Crackles ?
 Monitor O2 Saturation
levels
 Saturation level on
room air ?
 Saturation on oxygen
 Amount of oxygen
 Via facemask at high-
flow or nasal canula ?
 Respiratory pattern
 Use of accessory
muscles
 Dyspnea
 Agonal breathing
 Respiratory rate
 Tachypnea >20
 Bradypnea <12
Complications of Suctioning
 Increased dyspnea
caused by hypoxia and
anxiety
 Bloody aspirate from
prolonged or traumatic
suctioning.
Always ensure the safety and comfort of your patient
before exiting the room!
References
 UPMC St. Margaret’s Hospital
 Evidence Based Practice Policy and Procedure
 Lippincott’s Nursing Procedures (5th ed.) (pp. 535-
538).(2009). Philadelphia, PA: Wolters Kluwer.

You might also like