et tube suctioning ppt
Post on 14-May-2015
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- 1. Endotracheal suctioning is acomponent of bronchial hygienetherapy and mechanical ventilationand involves the mechanicalaspiration of pulmonary secretionsfrom a patient with an artificialairway in place.
2. ETT suctioning is defined as theprocedure to remove pulmonarysecretion mechanically from thepatients airway passages via nose ormouth where ETT (Endotracheal tube)is in place. 3. To maintain a patent airway byremoving accumulatedtracheobronchial secretions usingsterile technique. To improve oxygenation and reducethe work of breathing. Stimulate the cough reflex. Prevent infection and atelactasisfrom the retained secretion. 4. The need to remove accumulatedpulmonary secretions as evidenced byone of the following: Coarse breath sounds by auscultationof lungs or noisy breathing.(rhonchisound) Increased peak inspiratory pressuresduring volume-controlled mechanicalventilation or decreased tidal volumeduring pressure-controlled ventilation. 5. Patients inability to generate aneffective spontaneous cough. Visible secretions in the airway. Changes in monitored flow andpressure graphics. Deterioration of arterial blood gasvalues. Suspected aspiration of gastric orupper airway secretions. Clinically apparent increased work ofbreathing. 6. An endotracheal tube is anartificial airway inserted into thetrachea through the mouth ornose. It is usually made ofpolyvinyl chloride. 7. It is available in various sizes . the sizeis indicated by internal diameter (ID) inmillimeters.8/ 8.5 mm ID used for adultmale & 7/7.5 mm ID used for adultfemale. 8. Hypoxemia ( decreased O2 in the blood) Dysrhythmias Nosocomial pulmonary tract infection(most common complication of ETTtube suctioning) 9. Atelectasis 10. Sepsis Mucosal trauma with increasesecretions Cardiac arrest 11. Observe for the sign and symptoms of needto perform ET tube care: soiled or loose tape,pressure sore or nares, lips or corner ofmouth, and excess nasal or oral secretions. Observe for factors that increase risk ofcomplications from ET tube: type and size oftube, movement of tube up and downtrachea( in and out), duration of tubeplacement, cuff over inflation or underinflation, presence of facial trauma,malnutrition and neck or thoracic radiation. 12. Assess clients knowledge ofprocedure. Obtain another nurses assistance inthe procedure. Explain procedure and clientsparticipation including importance ofthe following: not biting or moving ETtube with tongue, trying not to coughwhen tape is off ET tube, keepinghands down and not pulling on tubing,removal of tape from face can beuncomfortable. 13. Assist client to assume positioncomfortable for both nurse andclient(usually supine or semi fowlers) Wash hands and administerendotracheal, nasopharyngeal andoropharyngeal suction.