Nursing Care Related to the
Cardiovascular and Respiratory Systems 2-39 |
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2-39. PERFORMING TRACHEOSTOMY SUCTIONING
a. Assemble the necessary equipment.
b. Explain the suctioning procedure to the patient if he is conscious.
c. Place the patient in semi-Fowler's position if permitted.
d. Wash your hands and set up the sterile suction kit.
e. Turn on the suction unit and set to low pressure to avoid trauma to the patient.
f. Using aseptic technique, don the sterile gloves.
g. Attach the sterile suction catheter to the connecting tubing by holding the catheter in your dominant hand (sterile hand) and the connecting tube in your non-dominant hand (non-sterile hand). Refer to Figure 2-4.
h. Moisten the catheter tip in the sterile saline.
i. Instruct your assistant to hyper oxygenate the patient.
Figure 2-4. Suction catheter and connecting tube.
j. With the suction diverted, gently insert the sterile suction catheter into the tracheostomy tube until slight resistance is felt, then pull back slightly.
k. Apply suction.
l. Instruct the assistant to hyper oxygenate the patient while you rinse the catheter by suctioning a small amount of the sterile saline.
m. If secretions are thick, instill 5 cc of sterile normal saline into the tracheostomy tube and suction again.
Figure 2-5. Tracheostomy suctioning.
n. Repeat the suction procedure until the airway is clear.
o. Reconnect the patient to the ventilator if one is in use.
p. Perform oropharyngeal suctioning, if required.
q. Discard used equipment and restock the patient's bedside with new equipment.
r. Record the procedure in the Nursing Notes. |
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