Excellent Pulmonary Resources - page 2

I am a member of COPD-international, and a question was posted by a member who doesn't know how to explain the results of the pulseoximeter reading. Can you help me out. I just know that for me, when... Read More

  1. by   NRSKarenRN
    oral: clean technique : yanker cath or soft cath for deep posterior pharnyx
    nasotracheal: clean technique using sterile catheter

    immunocompromised, critically ill, nasal fractures, etc require scrupulous technique compared to patient who is self-suctioning.


    maintain aseptic (sterile) technique – since the procedure bypasses many of the normal protective barriers of the body, it is essential that the nurse/respiratory therapist not introduce any microorganisms into the airway during the procedure. each time suctioning is to be done, a new pair of sterile gloves and a new sterile catheter must be used. strict attention to assure the gloves and catheter are essential with suctioning of an artificial airway. for nasotracheal suctioning, it is not possible to maintain sterile technique since the catheter passes through non-sterile areas on the way to the trachea, it is important nothing not already in the patient be introduced during the procedure.
    http://www.dmacc.edu/instructors/keg...november10.htm




    articles:

    inpatient facilities:

    nasotracheal suctioning — 2004 revision & update.


    adult: procedure: suctioning.endotracheal.tracheostomy.nasotracheal.adult ...

    infant + children:
    http://www.unchealthcare.org/site/nu...ocedures8.pdf/


    critical care:
    best-practice interventions: how can you prevent ventilator-associated pneumonia?
    http://www.nursingcenter.com/prodev/...asp?tid=627810


    homecare:

    suctioning of the patient in the home http://www.rcjournal.com/online_reso...otpithcpg.html
    care of the child with a chronic tracheostomy: suctioning

    suctioning of the patient in the home


    great respiratory evidenced based clinical practice guidelines http://www.rcjournal.com/online_reso.../cpg_index.asp

    case discussions


    don't forget : bronchial hygiene therapy
    http://www.meridianhg.com/bronch.html


  2. by   VickyRN
  3. by   lajean
    No more than 15 seconds of continuous suction to the airway. (Unless they changed the rules...). Of course, it may seem alot longer than 15 seconds when you're new at it, and you may think you're gonna suck their lungs right out of 'em - but 15 seconds is generally the rule. Oh yeah, almost forgot to tell ya...that has to be while withdrawing the catheter. Don't apply suction until you are ready to withdraw - that is when your 15 seconds begin. Use KY and it is always good to pre-oxygenate and post-oxygenate the patient when suctioning the lungs. Better to be save than sorry - use sterile technique whenever you suction. Just FYI - Call Respiratory.
    Last edit by lajean on Feb 9, '07
  4. by   carrie-rt
    Alot of different factors can affect a pox reading but should correlate w/ an abg 2-3%. A continuous accurate reading(correlating w/pts pulse and reading for more than 5 beats and pox displays reading and thats it)is important. Smokers will read higher if just smoked(pts carboxyhemoglobin is whats measured via pox) movement will cause false readings, nail polish (of red/black/purple,false nails)
    Perfusion issues(shock/hypovolemia)
    Remember to assess the whole picture and the pt. but your pulse ox should be pretty close to the arterial oxygen saturation that results on the arterial gas....
  5. by   VickyRN
  6. by   VickyRN
    the five p's spell postive outcomes for ards patients

    use these evidence-based interventions to avoid the
    dangers of ards, its complications, and its therapy
  7. by   VickyRN
  8. by   NRSKarenRN
    found at medscape nurses:

    to strip or not to strip? physiological effects of chest tube manipulation

    how confident are you that your knowledge of the effects of chest tube stripping is up to date?
    american journal of critical care, december 11, 2007
  9. by   NRSKarenRN
    trach changes- how often??

    adult info and links: http://allnurses.com/forums/1734680-post5.html

    children: cynthia bissell, rn aaron's tracheostomy page
    http://www.tracheostomy.com/care/change.htm

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