SUCTIONING ● Gastric secretions or vomitus in

mouth
Introduction ● Coughing without clearing secretions
● The patient with an artificial airway is from
not capable of effectively coughing, -Monitor RR at least 2 hrs every 30 mins. It
the mobilization of secretions from the pt. is post op, it could accumulates
the trachea must be facilitated by secretion bec of the effect of anethesia.
aspiration. This is called suctioning. -Check the check if there is an adventitious
sound. Normal breath sounds.
What is suctioning? -Unconscious pt. position should be lateral
● Endotracheal suctioning is the to prevent aspiration
removal of secretions from -padaain ang catheter sa gilid ng oral
tracheobroncheal tree through an mucosa to prevent gag.
endotracheal tube with the help of Insert pic
mechanical suction device -if pedia, 3-5 inches ang ipapasok sa
catheter. Rotate sa mucoso. Kapag geria,
Purpose
same lang kasi there is a possibility of
● To maintain a patent airway by
cardiac arrest if dere-deretso ang suctioning
removing retained tracheobroncheal
esp kalag may heart prob. Could cause
secretions.
cardiac respiratory arrest kasi nagvalsalva
● To prevent lower respiratory tract
maneuver (umiri)
infection from retained secretions.
● To provide effective ventilation Insert pic:
● To stimulate coughing -Naka-hang ang catheter sa side rail ng
-Assistant lang ang suctioning. Needs dr. bedside and nakasuksok sa plastic.
order -May label if ginamit sa oral.
-Adult suction pressure: 100-150 mmhg
Signs and symptoms indicating need for ● Children: 50-100
suction: ● Infant: 40-60
-FIO2- fraction of inspired oxygen
● Abnormal respiratory rate
● Kung ilan percent iniinhale ni pt.
● Adventitious sounds on inspiration or
-Nasa cannula- 2-6L/min until, 02
expiration
concentratiom 36%
● Nasal secretions
● 1-2 liters- 24-28% oxygenation
● Gurglin
● Drooling
● Restlessness
-Color coding: different sizes of suction ● Suctioning should be done when
catheter. The smaller the no. the smaller the clinically necessary (not routinely).
diameter. ● The need for suctioning should be
-Adult- size 14 or 16 assessed at least every 2hrs or
-Newborn- bulb gamit. Suction sa oral kasi more frequently as need arises.
pwede magtraumatize sa nares -30-1 pahinga before suction ulit.
-Adult- suction sa naso. Papalambutin langg ang plema. Pwede
-5-10 seconds of suctioning or max 15 as it naman uminom ng tubig if not
may cause hypoxia or tissue trauma contraindicated. Sip of watee lang to liquefy
secretion
Complications:
● Hypoxia Nursing Responsibilities:
● Tracheal or bronchial mucosal ●
trauma ● Patient Safety Ensure the patient's
● Cardiac or respiratory arrest safety during the procedure Monitor
● Pulmonary hemorrhage / bleeding vital signs before, during, and after
● Cardiac dysrhythmias suctioning
● Pulmonary atelectasis ● Patient Comfort Explain the
○ Lung collapse bec. of alveoli procedure to the patient to reduce
deflate and nagkakaroon ng arety infection Control
reduction sa volume sa ● Maintain sterile technique during the
affected area. Common sa procedure to prevent infection
COPD- 2-3 Liters for fiO2 ● Documentation: Document the
lang. procedure, including the patient's
● Bronchospasm response and any complications
● Hypotension / hypertension
Documentation:
○ Inhale and exhale exercise,
● Record the time of suctioning, nature
hyperventialte if inhale and
& amount of secretions.
exhale isnt effective and
● Document indications for suctioning
check kung ilang fi02 ang
& any changes in vitals & patient's
need baka magincrease lalo
tolerance
ang bp
● Elevated ICP

Caution:
● Suctioning is potentially an harmful
procedure if carried out improperly.