A practical nurse is preparing to perform open tracheostomy suctioning for an adult client who has coarse crackles and a weak cough. To reduce the risk of hypoxia and mucosal trauma, arrange the following procedural steps in the correct chronological order.
- 1Verify the wall suction pressure is set to between 80 and 120 mm Hg.
- 2Hyperoxygenate the client using a manual resuscitation bag connected to 100% oxygen.
- 3Advance the sterile catheter into the artificial airway without applying suction.
- 4Withdraw the catheter 0.5 to 1 cm (0.2 to 0.4 in) after meeting resistance.
- 5Apply intermittent suction while rotating the catheter during withdrawal.
Cevap
The correct sequence is to first verify suction pressure, then hyperoxygenate the client, advance the catheter without suction, withdraw slightly upon meeting resistance, and finally apply intermittent suction while rotating and withdrawing.
The correct sequence ensures the procedure is performed safely and minimizes severe physiological risks. First, the suction pressure is verified to prevent excessive vacuum trauma. Second, the client is hyperoxygenated to provide an oxygen reserve, as suctioning removes air alongside secretions. Third, the catheter is advanced without suction to avoid damaging the mucosal lining on the way down. Fourth, the catheter is withdrawn slightly after meeting resistance at the carina to prevent suctioning directly on sensitive bifurcated tissue. Finally, intermittent suction is applied while rotating and withdrawing to safely clear the airway.
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Anahtar Kavram
Tracheostomy Suctioning Safety Sequence
Tahmini Süre:1m 30s