A practical nurse is providing immediate care for a newly born infant who suddenly regurgitates mucus and appears to be gagging. The nurse prepares to use a bulb syringe to clear the infant's airway. In what order should the nurse perform the following actions? (Arrange the steps from first to last.)
- 1Compress the bulb of the syringe fully.
- 2Place the tip of the syringe into one side of the infant's mouth.
- 3Release the pressure on the bulb gradually to draw up the secretions.
- 4Empty the gathered secretions from the syringe onto a tissue.
- 5Suction the infant's nares one at a time.
Cevap
First, compress the bulb fully; second, place the tip into one side of the mouth; third, release the bulb gradually; fourth, empty the secretions onto a tissue; and fifth, suction the nares one at a time.
The safe and effective sequence for bulb syringe suctioning relies on two critical principles: the bulb must be compressed before insertion, and the mouth must be cleared before the nose. Compressing prior to insertion prevents forcing secretions deeper into the respiratory tract. Suctioning the mouth first prevents the infant from aspirating oral secretions if they reflexively gasp when their nares are suctioned.
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Airway clearance using a bulb syringe in a newborn