NURSING OF RESPIRATORY SYSTEM

RESPIRATORY CHANGES DURING PPERINATOLOGY

Group 5:

1. Mery Sepriani (1311311092)

2. M. Angga Mahalta (1311312003)
3. Suci Nilam Sari (1311312004)

Faculty of Nursing
Andalas University
2014
A.Definition

Suction is the process to exerting the secretion from the airway of breathing with using suction catheter
that rope in from nasal or oral

B.Purposes

 Evaluates by listening for noisy respirations

 Evaluates the patient's coughing
 To removes the secretions from the airway
 Allow the patients to breathe easier

C .Indications

 Patients with artificial airway

 Patients with coptous, retained secretion who can't cough effectively
 The presence of adventitious breath sounds
 A requirement for a sputum specimen for laboratory analysis
 If the patient is isolated and coma

D. Contraindications

 Patients with less the cerebra spinal fluid

 Pulmonary edema
 Acute neck, facial/ head injury
 Hemodynamic instability
 Nasal/oral burns, due to risk of infection
 Raised of ICP
 Patients with epiglottis
 Patients with known hypersensitivity/vasovagal response to suctioning

E. Complications

 Hypoxemia
 Dysrhythmias
 Hypotension
 Atelectasis
 Infections
 Tracheal mucosal damage
 Vomiting and aspiration of stomach contents
 Arrhythmias
 Bronchospasm
 Increased of ICP
f. Equipment

 Suction machine
 Suction catheter
 Sterile water for clearing clogged catheter
 Sterile gloves
 Cassa
 Mask, apron, eye protection
 Connector tubing
 Oxygen supply and delivery service as indicated
0,9 % Nacl for lavage, If indicated by inpissated secretions

Procedures

Step Action Yes No

Pre-Interaction Check ID bracelet of the client

Collect the equipment as needed

Medical sepsis

keep the patient’s privacy

Orientation Explain procedure and rationales to the client, if the

client is conscious

Activity Check the patient's vital signs

Check the suction machine is it working well

Positioning the patient's in 45 degrees of bed to

open the airway

Provide a sterile water to cleaning the catheter

Connect the cable to electricity, then Turn ON the

machine

Set up the indicator for doing suctions as indicated,

as the doctor’s suggest

Put on sterile gloves on dominant hand and use that

hand to withdraw catheter from pack

Inserting suction catheter via nasal/oral/tracheal as

needed and patients conditions

Apply suction continuously and make sure the

secretions was cleaned
 Note: Suction should not be applied for more than
15 seconds, and ventilation and oxygenation should
not be interrupted for more than 20 seconds in
adults. For pediatric patients, suction should be
applied for no more than 5 seconds, and the
interruption to ventilation and oxygenation should
not exceed 10 seconds

Note: Color, consistency and amount of secretions

Repeat the suctioning procedure until secretions are

cleared from the air way and breath sounds are
improved

Termination/evaluati Rinse the suction tubing in water to prevent clogging

on of the vacuum apparatus

Assure that the patient is comfortable that vital

signs are stable before leaving the bedside

Immediately discard the dirty catheter and gloves

Turn OFF the machine

Then tell to the patient's that the procedure has

been done

Documentation Chart the procedure by initiating the proper column

on the pat bedside flow sheet

Chart any adverse reactions that may have occurred

Hand washing