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Suctioning: Prepared By: Christian Ravina M.sc. (N), 2 Year M.T.I.N. Changa

This document discusses the procedure for suctioning a patient to clear respiratory secretions when coughing is ineffective. It defines oropharyngeal suctioning as removing secretions from the oral cavity and pharynx, and orotracheal/nasotracheal suctioning as necessary for patients unable to cough with an artificial airway. The purposes are to remove obstructions, facilitate ventilation, obtain samples, and prevent infection. Indications include noisy breathing, inability to cough, visible secretions, and deteriorating oxygen levels. The procedure involves preparing supplies, positioning the patient, selecting suction pressure, inserting the catheter, applying suction for 10-15 seconds, and documenting the results.

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Grace Gurdiel
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201 views25 pages

Suctioning: Prepared By: Christian Ravina M.sc. (N), 2 Year M.T.I.N. Changa

This document discusses the procedure for suctioning a patient to clear respiratory secretions when coughing is ineffective. It defines oropharyngeal suctioning as removing secretions from the oral cavity and pharynx, and orotracheal/nasotracheal suctioning as necessary for patients unable to cough with an artificial airway. The purposes are to remove obstructions, facilitate ventilation, obtain samples, and prevent infection. Indications include noisy breathing, inability to cough, visible secretions, and deteriorating oxygen levels. The procedure involves preparing supplies, positioning the patient, selecting suction pressure, inserting the catheter, applying suction for 10-15 seconds, and documenting the results.

Uploaded by

Grace Gurdiel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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SUCTIONING

Prepared By :
Christian Ravina
M.sc.(N), 2ndyear
M.T.I.N.
Changa
Introduction
• When a client is unable to clean
respiratory tract secretions with
coughing , the nurse must use
suctioning to clear the airway
Definition
• Oropharyngeal suctioning :
It is the process of removing
secretions from the oral cavity &
pharynx
• Orotracheal and nasotracheal
suctioning :
It is necessary when client is with
pulmonary secretions is unable to
cough out & does not have an
artificial airway
Purposes for suctioning
• To remove secretions that obstruct
the airway
• To facilitate ventilation
• To obtain secretion for diagnosis
purposes
• To prevent infection that may result
form accumulated secretions
Indications
• “noisy” breathing
• Patients inability to generate an
effective spontaneous cough
• Visible secretions in the airway
• Suspected aspiration of gastric or
upper airway secretions
• Clinically apparent increased work of
breathing
• Deterioration of arterial blood gases
• Patient requests suctioning
• Low oxygen saturations
• Radiological changes consistent with
retention of pulmonary secretions
Articles
• Appropriate size sterile suction
catheter/swallest diameter that will
remove secretions effectively 14-18
Fr.
• Portable or wall suction apparatus
with connecting tube or Y-connector
• Sterile water / normal saline in bowl
• Face mask
• Gloves
• Towel or waterproof pad
• Tongue depressor
• Nasal or oral airway
PROCEDURE
• Assess for sign & symptoms which
indicate presence of upper airway
secretions, gurgling respiration ,
restlessness , vomitus in mouth ,
drooling
• Explain the procedure to client & also
to relatives
• Prepare necessary equipment &
supplies
• Maintain the privacy of the patient
• Give semi-fowler’s position to the
patient with the head turned to one
side . place the client in semi-fowler’s
position with neck hyper extended
• Place an unconscious client in the side
lying position facing towards the
nurse
• Place a towel on the pillow or
under the chin
• Select the proper suction
pressure for the type of suction
unit . For wall suction unit is :
– 100- 150 mm of Hg in adults
– 95-110 mm of Hg in Children
– 50-95 mm of Hg in infants
• Wash hands
• Wear gloves
• Using gloved hand , with coiled
catheter , attach the catheter the
connecting tubing of suction machine
• Approximate the distance between
the client’s ear lobe & tip of the nose
& place the forefinger at that point
• Moisten the distal 6-8 cms
catheter tip with sterile solution
• For nasopharyneal suctioning ,
gently insert catheter into the
nostril guide the catheter
medially along the floor of nasal
cavity
• For oropharyngeal suctioning ,
gently insert the catheter into the
one side of mouth , & guide the
catheter to the oropharynx . Do
not apply suction during insertion
• While withdrawing occluded the
suction part with thumb , gently
withdraw it by rotating
• The procedure should not take
more than 15 seconds inside
lungs
• Flush the catheter with sterile
solution & apply suction
• Suck the secretions from mouth
or under tongue after suctioning
nasopharynx & oropharynx
• Wash hands after suctioning &
discard the used catheter
• Record the amount , consistency ,
color , odour of secretions &
client’s response to procedure
Points to remember
• Apply the catheter of appropriate
size
• By gentle while suctioning
• Do not suction for more than 10-
15 seconds
• During suction , if patient coughs,
withdraw the catheter
immediately
• Flush catheter after each suction
with sterile saline
Thank you… 

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