Lippincott 317 questions with correct answers

helps remove pulmonary secretions from a patient's artificial airway to prevent obstruction - Answer What does tracheal suctioning do? -open systems require disconnecting the patient from the ventilator for suctioning -closed systems use a sterile in-line suction catheter attached to the ventilator circuit, which permits suctioning without disconnecting the patient from the ventilator; provides continuous ventilation and oxygenation - Answer What is the difference between open and closed tracheal suctioning? presence of secretions in the airway, adventitious breath sounds on auscultation, increased peak airway pressure, frequent coughing, suspected aspiration of gastric or upper airway secretions, sudden onset of respiratory distress with suspected airway obstruction, and decrease in oxygen saturation level - Answer What are indications for suctioning? 30-60 seconds before undertaking tracheal suctioning and before and after each pass of the suction catheter - Answer According to the AARC, when should you hyper oxygenate the patient with 100% oxygen? no more than 15 seconds; set suction pressure at the lowest level that clears secretions effectively. After suctioning, hyper oxygenate the patient again for at least 1 minute using the same technique as pre oxygenating the patient - Answer How long should each suctioning event take? -diameter should be no larger than 1/2 of the inside diameter of the tracheotomy or endotracheal tube to minimize hypoxi adoring sucti