Performing nasotracheal and Nasopharyngeal suctioning Quizlet

Don sterile gloves. Consider dominant hand sterile and your nondominant hand unsterile. Alternatively, put a sterile glove on your dominant hand and a nonsterile glove on your nondominant hand.

NOTE: if you consider both hands sterile (i.e., for sterile technique), you must remove the cap from the sterile water before donning gloves.

8. Pour sterile saline into the sterile container, using your nondominant hand.
Sterile saline will be used to clear the suction catheter of secretions after suctioning.

9. Pick up the suction catheter with your dominant hand and attach it to the connection tubing, maintaining sterility of your hand and the catheter.
Prepares the suction catheter for use.

10. Put the tip of the suction catheter into the sterile container of normal saline solution, and suction a small amount of normal saline solution through the suction catheter. Apply suction by placing a finger over the suction control port of the suction catheter.

Lubricates the catheter and helps ensure that the suction equipment is functioning properly.

11. Ask the patient to take several slow, deep breaths. If the patient's oxygen saturation is < 94%, or if he is in any distress, you may need to give supplemental oxygen before, during and after suctioning. See Procedure 37-4.
Promotes relaxation and helps hyperoxygenate the patient before suctioning.

12. Using your nondominant hand, remove the oxygen delivery device, if present (for the nasal suctioning only).

Document the date, time, and reason you performed suctioning.

Note the suction technique you used and the catheter size.

Note the color, consistency, and odor of secretions.

Document the patient's respiratory status before and after the procedure.

Document the patient's tolerance of the procedure and any complications that occurred as a result of the procedure.

Document any interventions you performed to address complications that occurred.

Sample documentation

July 31, 2018 0930 O2 sat 89% on room air, bilateral rhonchi to bases auscultated, unproductive cough, heart rate 90, RR-18. Assistant nurse recruited for manual ventilation. Client placed in semi-Fowler's position, hyperventilated for 1 minute to 100% O2 sat, oropharyngeal suctioning performed using sterile technique, resulting in moderate amounts of white, tenacious, yellow-tinged secretions. Improved breath sound with diminished rhonchi auscultated, O2 sat at 97% on room air, heart rate 78, RR-14. Client smiles when asked how he feels. Bed in low position, call light and fluids in reach.——————Kelton Jones, RN

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Which technique for performing Nasotracheal suctioning is correct?

Lubricate the suction catheter. Preoxygenate the patient. Insert the catheter into the tube or stoma until the patient coughs. Apply suction while rotating the catheter as you slowly withdraw it from the airway.

What is the difference between nasopharyngeal and Nasotracheal suctioning when are each indicated?

Differences Between Nasopharyngeal and Nasotracheal Suctioning. The most important distinction between nasopharyngeal and nasotracheal suctioning is that nasotracheal suctioning is more invasive. This means that the latter requires a longer catheter and more precision.

When performing Nasotracheal suction the nurse should?

Nasotracheal suctioning should be performed before pharyngeal suctioning. The appropriate subatmospheric pressures to use when suctioning are : Neonates: 60 to 80 mm Hg. Infants: 80 to 100 mm Hg.

Which action is part of the preparation for Nasotracheal suctioning group of answer choices?

Which action is part of the preparation for nasotracheal suctioning? Place the patient in a supine position. Preoxygenate the patient with 100% oxygen. Suction 100 mL of warm tap water to flush the suction catheter.