Page 62 - CLINICAL PRACTICE II
P. 62

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                NO.                 PROCEDURE                                                REMARKS


                 10.   Estimate the depth to insert the suction
                       catheter:
                           a.  Oropharyngeal suctioning: Measure the distance
                               between the edge of the patient’s mouth and the tip of
                               the patient’s ear lobe.

                           b.  Nasopharyngeal suctioning: Measure the distance
                               between the tip of the patient’s nose and the tip of the
                               patient’s ear lobe.
                 11.  Using the non-dominant hand, remove the oxygen delivery
                       device, if present. Allow patient to take several slow deep
                       breaths. If the oxygen saturation is < 95%, or if patient is in any
                       distress, administer oxygen before, during, and after
                       suctioning.
                 12.  a. Oropharyngeal suctioning

                       -  Lubricate the catheter tip with normal saline.


                        Using the dominant hand, gently but quickly insert the suction
                       - catheter along the side of the patient’s mouth into the
                        oropharynx.

                        Advance the suction catheter quickly to the premeasured
                       - distance (usually 7 to 10 cm in the adult), being careful not to
                        force the catheter.
                 13.  b. Nasopharyngeal suctioning
                       -  Lubricate the catheter tip with the water-soluble
                           lubricant.

                      -  Using the dominant hand, gently but quickly insert the
                       -
                          suction catheter into the nares.

                      -  Advance the suction catheter quickly to the premeasured
                         distance (13 to 15 cm in the adult), being careful not to force
                          the catheter.

                         -  If resistance is met, try using the other nares.








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