338. TYPES OF SUCTIONING TYPE OF SUCTIONING: OROPHARYN-GEAL SUCTIONING POSITION OF THE PATIENT WHILE SUCTIONING DEPTH DURATION INTERVAL WITH EACH PASS OF SUCTION TOTAL TIME If the patient is conscious Fowler’s (high or moderate); Head turned to one side (towards the nurse) 10 – 15 cm Not more than 10 – 15 seconds 20 – 30 seconds Not more than 5 minutes If the patient is unconscious Place on one side (facing the nurse); Tilt neck to move head slightly forward towards the basin to avoid aspiration during suctioning 10 – 15 cm Not more than 10 – 15 seconds 20 – 30 seconds Not more than 5 minutes
339. TYPES OF SUCTIONING TYPE OF SUCTIONING: NASOPHA- RYNGEAL SUCTIONING POSITION OF THE PATIENT WHILE SUCTIONING DEPTH DURATION INTERVAL WITH EACH PASS OF SUCTION TOTAL TIME If the patient is conscious Neck should be hyperextended; Fowler’s position From tip of the nose to tip of the earlobe Not more than 10 – 15 seconds 20 – 30 seconds Not more than 5 minutes If the patient is unconscious Flat on bed with head turned to the nurse Lateral position may be assumed From tip of the nose to tip of the earlobe Not more than 10 – 15 seconds 20 – 30 seconds Not more than 5 minutes
340. TYPES OF SUCTIONING TYPE OF SUCTIONING: OROTRA- CHEAL SUCTIONING POSITION OF THE PATIENT WHILE SUCTIONING DEPTH DURATION INTERVAL WITH EACH PASS OF SUCTION TOTAL TIME If the patient is conscious Low to semi-fowler’s position Measure from mouth to mid-sternum Not more than 10 seconds 20 – 30 seconds Not more than 5 minutes If the patient is unconscious Flat on bed; Suction trachea through the mouth Measure from mouth to mid-sternum Not more than 10 seconds 20 – 30 seconds Not more than 5 minutes
341. TYPES OF SUCTIONING TYPE OF SUCTIONING: NASOTRA- CHEAL SUCTIONING POSITION OF THE PATIENT WHILE SUCTIONING DEPTH DURATION INTERVAL WITH EACH PASS OF SUCTION TOTAL TIME If the patient is conscious Low to semi-fowler’s position From tip of the nose to earlobe to dominating side of neck to the thyroid cartilage Not more than 10 seconds 20 – 30 seconds Not more than 5 minutes If the patient is unconscious Flat on bed; Suction trachea through the nose From tip of the nose to earlobe to dominating side of neck to the thyroid cartilage Not more than 10 – 15 seconds 20 – 30 seconds Not more than 5 minutes
342. TYPES OF SUCTIONING TYPE OF SUCTIONING: POSITION OF THE PATIENT WHILE SUCTIONING DEPTH DURATION INTERVAL WITH EACH PASS OF SUCTION TOTAL TIME ENDOTRA-CHEAL TUBE SUCTIONING Semi-Fowler’s if not contraindicated 12.5 cms. or 6 inches; Insert as far as it goes until you meet resistance or until patient coughs 5 – 10 seconds 2 – 3 minutes Not more than 5 minutes TRACHEOS-TOMY TUBE SUCTIONING Semi-Fowler’s if not contraindicated Insert as far as it gets until you meet resistance or until the patient coughs 5 – 10 seconds 2 – 3 minutes Not more than 5 minutes