Page 114 - Demonstrating skill coppysaved colored-converted

UNIT-TEN: SUCTIONING
Objectives: At the end of this unit the trainees will be able to:
1. Identify equipment for suctioning
2. Apply the principle of suctioning
3. Suck the patient appropriately
4. Give CPR for clients in need
Suctioning is the aspiration of secretions by a catheter connected to a suction machine (the
suction machine is either portable or wall outlet). It is recommended that a sterile technique be
used for all suctioning.
Purpose
To remove secretion that obstructs the airway.
To facilitate respiration ventilation.
To obtain secretion for diagnosis.
To remove the secretion from any cavity
To prevent infection that may result from accumulated secretions.
Indication
 When a client unable to cough up secretion and expectorate.
 When a client unable to swallow secretion.
 Tracheostomy
 Audible or visual signs of secretions accumulation in the tube
 Signs of respiratory distress
 Suspicion of a blocked or partially blocked tube
 Vomiting
 Desaturation on pulse oximetry
 Changes in ventilation pressures (in the ventilated patient )
 Request by the patient for suction (older children)

10.1 Site of airway suctioning
Upper airway
Oropharyngeal suctioning
Nasopharyngeal suctioning used to remove secretions from the upper respiratory tract.

Lower airway
Endotracheal suctioning - used to remove secretions from the trachea and bronchi.
Tracheostomy care

Equipment
1. Sterile suction catheters
2. 12 to 18 Fr for an adult.
3. 8 to 10 Fr for children 5 to 8 Fr for the infant.
4. Suction machine with

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