Instruct the client to remain in each position of the postural drainage sequence for 10 to 15 minutes. Show
Postural drainage is usually performed two to four times daily, before meals (to prevent nausea, vomiting, and aspiration) and at bedtime. Prescribed bronchodilators, water, or saline may be nebulized and inhaled before postural drainage to dilate the bronchioles, reduce bronchospasm, decrease the thickness of mucus and sputum, and combat edema of the bronchial walls. The nurse instructs the client to remain in each position for 10 to 15 minutes and to breathe in slowly through the nose and out slowly through pursed lips to help keep the airways open so that secretions can drain while in each position. If the sputum is foul-smelling, it is important to perform postural drainage in a room away from other patients or family members. (Deodorizers may be used to counteract the odor. Because aerosol sprays can cause bronchospasm and irritation, they should be used sparingly and with caution.) When performing endotracheal suctioning the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for how long?When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for which of the following time periods? In general, the nurse should apply suction no longer than 10 to15 seconds because hypoxia and dysrhythmias may develop, leading to cardiac arrest.
What is the maximum attempt when you suction the endotracheal tube?After inserting the catheter the measured distance initiate suctioning as you retract the catheter in a sweeping motion. Do not suction too long! The maximum suction time should only be 15 seconds. After suctioning, re-oxygenate the patient.
How often do you suction an endotracheal tube?Traditionally, ETT suctioning is performed every 1–2 hours to remove secretions and to reduce the risk of pneumonia (13). However, some studies have shown that due to the considerable risks and adverse effects, it is now recommended to suction only when necessary (14).
What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected?Insert the catheter through the nose, tracheostomy tube or endotracheal tube. Do not be aggressive when inserting the tube through the nose. Once the catheter has been inserted to the appropriate depth, apply intermittent suction and slowly withdraw the catheter, using a twirling motion as the catheter is withdrawn.
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When performing endotracheal suctioning the nurse supplies suctioning while withdrawing and gently rotating the catheter 360 for how long?
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