Avoiding Hypoxia during Endotracheal Suctioning

How can the nurse prevent hypoxia during endotracheal suctioning?

1) Inserting a fenestrated catheter with a whistle tip without suction

2) Completing suction pass in 30 seconds with pressure of 150 mm Hg

3) Hyperoxygenating with 100%

4) Minimizing suction pass to 60 seconds while slowly rotating the lubricated catheter

Answer:

To avoid hypoxia during endotracheal suctioning, the nurse should hyperoxygenate the client and minimize the suction pass time while rotating the catheter.

Endotracheal suctioning is a critical procedure performed by nurses caring for clients on mechanical ventilation. It involves removing secretions from the airway to maintain patency and promote effective breathing.

To prevent hypoxia during endotracheal suctioning, the nurse should take specific measures. Hyperoxygenating the client with 100% oxygen before suctioning is crucial to maximize oxygen saturation in the blood. This helps compensate for the temporary decrease in oxygen levels that may occur during the procedure.

Additionally, the nurse should minimize the suction pass time to 60 seconds. Prolonged suctioning can lead to hypoxia due to the removal of too much air from the lungs. By limiting the suction pass time, the nurse reduces the risk of hypoxia while effectively clearing secretions from the airway.

Furthermore, slowly rotating the lubricated catheter during suctioning is essential to prevent damage to the airway. Careful technique helps ensure that the procedure is conducted safely and effectively, minimizing the risk of complications such as hypoxia.

In conclusion, by hyperoxygenating the client with 100% oxygen, minimizing the suction pass time, and using gentle technique while rotating the catheter, the nurse can successfully prevent hypoxia during endotracheal suctioning, promoting optimal respiratory function in the client.