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Text Video Case. Purpose Nasotracheal Suctioning remove secretions from the pharynx by a suction catheter inserted through the nostril. Assessment Assess your facility's policy to determine whether a physician's order Nasotracheal Suctioning required for oropharyngeal suctioning. Assess the client's blood gas or oxygen saturation values and check vital signs. Assess the client's ability to cough and deep breathe to determine the ability to move secretions up the tracheobronchial tree. Assess the client's history for Nasotracheal Suctioning deviated septum, nasal polyps, nasal obstruction, traumatic injury, epistaxis, or mucosal swelling. Equipment Wall suction or portable suction unit Connecting tubing Sterile normal saline solution Disposable sterile container Sterile suction catheter 10 to 16 French for an adult Sterile gloves Clean gloves Goggles Nasopharyngeal or oropharyngeal airway Nasotracheal Suctioning for frequent suctioning Overbed table Waterproof trash bag Towel Optional: tongue blade, tonsil tip suction device Note: A commercially prepared kit Nasotracheal Suctioning a Nasotracheal Suctioning catheter, disposable container, and sterile gloves. Rationale: Checking identification ensures client safety through Nasotracheal Suctioning of correct procedure for correct client. Rationale: Explanation minimizes anxiety and fear, which can increase oxygen consumption. Rationale: Handwashing reduces transfer of microorganisms. Rationale: Protective equipment protects you from contact with secretions. Rationale: Tube occlusion tests suction apparatus; higher pressures cause excessive trauma without enhancing secretion removal. Rationale: Side placement promotes forward drainage of secretions. Rationale: Towel prevents contact with secretions.

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Use valid assessment findings dyspnea, poor skin color, decreased SaO 2 levels, visible or audible secretions, and restlessness to determine the need for nasotracheal suctioning. Nasotracheal suctioning is considered a blind highrisk procedure with at times unpredictable outcomes. Nasotracheal suctioning is contraindicated in the child with facial Nasotracheal Suctioning or basilar skull fracture. Be familiar with the potential risks associated with nasotracheal suctioning before initiating Nasotracheal Suctioning procedure. Although the upper airways oropharynx and nasopharynx are not a sterile environment, it is recommended to use sterile technique for all suctioning to avoid introducing pathogens into the airways. Nasotracheal suctioning should be performed before pharyngeal suctioning. The appropriate subatmospheric pressures to use when suctioning are : Neonates: 60 to 80 mm Hg Infants: 80 to mm Hg Children: to mm Nasotracheal Suctioning Adults: to mm Nasotracheal Suctioning EQUIPMENT Portable or wall suction machine with tubing and collection container Oxygen delivery devices Receiving blanket Towel or disposable waterproof pad Nasotracheal Suctioning sterile suction catheter the catheter diameter should not exceed Nasotracheal Suctioning the diameter of the airway Age. Promotes efficient time management and provides an organized approach to the procedure. Properly functioning equipment and supplies are needed for beneficial results. Appropriate suction pressure decreases the chance of mucosal irritation and damage, hypoxemia, and atelectasis.

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