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ET and Trach suctioning

NU 122 Lab Trach Suctioning
by

John Anderson

on 6 October 2015

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Transcript of ET and Trach suctioning

Endotracheal/Tracheostomy
Suctioning

ETT
Who will need ETT
Trach cuff
Trachs
Used in emergency situation
Used with general anesthesia
Monitor breath sounds
They should be = and BI-LAT
Mark point on the ETT. don't want tube to move, will cause necrosis or obstruction
Alternate tape one side to other with each tape change. Will cause necrosis
Babies with low muscle tone
Non coughing clients
If you can not cough leads to lung not filling with O2, leads to pneumonia, leads to low O2 saturation
Code's
General anesthesia
Fast breathing
Anyone who cannot support their airway
MD will order when the cuff is to be inflated or deflated
Most cuff's will hold 10ml of air
Check q 4 hrs to check for over or under inflation
Many different shapes and sizes
Plastic, metal, cuffed, uncuffed, fenestrated, non-fenestrated
Plastic is called shiley
Metal are called metal
The smaller the Number the smaller the trach
Reasons to suction
Provide patent airway
Mechanical ventilation
Remove secretion
Normal air exchange
Similarity between ET and Trachs
Both are in the Trachea
Both are used for mechanical ventilation
Both are used for deep suctioning
When to deflated the cuff

To eat
On insertion and removal
Weaning off vent
Learning to talk
The cuff must be inflated when giving Mechanical ventilation
Client will not be able to talk if the trach is inflated
Obturator
Help to guide the trach in to the correct location
You will tape this to the head of the bed
You must have three trachs in the room at all time
One that is in the client, one that is the same size as the one that is in the client and one that is one size smaller than the one that is in the client. (edema)
If the client coughs the trach out call a code because the stoma could close.
Suctioning
Try to let the client clear their own airway before you suction them
Very sensitive, small amount of stimulate will stimulate the coughing reflex
Use the BVM to hyper-oxygenate before and after suctioning
Suctioning depletes O2 leading to hypoxia
Documentation

Breath sounds
Secretions
Odor
Color
Amount
How they tolerated suctioning
What is a fenestrated trach?
A fenestrated trach tube is similar to other trach tubes but has one added feature. It has one or more holes in the outer cannula. The holes allow air to pass from your lungs up through your vocal cords and out through your mouth and nose. It lets you: Breathe normally, as if you did not have a trach tube.
Speak using your vocal cords Cough out secretions (mucous) through your mouth.
Why are fenestrated trachs used?
Fenestrated trachs may be used as a step before the removal of your trach tube. It allows a "trial" to see how you do breathing normally and coughing up secretions on your own. It is also used to let you speak if you don't need a trach tube open all the time.
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