Which technique is correct when suctioning a tracheostomy?

Correct answer: B. Advance without suction, then apply suction while withdrawing

  • A. Apply suction while inserting the catheter for 30 seconds
  • B. Advance without suction, then apply suction while withdrawing
  • C. Use continuous suction while advancing and withdrawing
  • D. Instill sterile water routinely before every suction pass

Explanation

The catheter is advanced without suction and suction is applied intermittently while the catheter is withdrawn and rotated. Each pass should be brief, usually no longer than 10 to 15 seconds, to reduce hypoxia and mucosal trauma.

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About Oxygen Therapy and Airway Care

Airway care includes positioning, suctioning, coughing and deep-breathing exercises, incentive spirometry, oxygen delivery devices and humidification. Questions address indications, flow rates, safety precautions and monitoring for hypoxia or oxygen toxicity, while distinguishing nasal cannula, simple mask, non-rebreather mask and Venturi mask use.

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