Oxygenation Administration
Suctioning
Patient Teaching
Critical Thinking
Medications
100
Only up to 2-3 L/min flow rate
What is the typical maximum oxygen flow rate prescribed for paitents with chronic lung disease?
100

This is indicated to maintain a patient airway and to remove saliva, pulmonary secretions, blood, vomitus, or foreign material from pharynx 

What is suctioning

100
Exhaling slowly and evenly while positioning lips like whistling or sucking on a straw.
What is pursed lip breathing?
100
Using plastic bibs for children with trach or other artificial airway inserted?
What is a safety hazard due to possible airway obstruction?
100
Administered immediately to decrease constriction and shortness of breath during an acute asthma attack.
What are beta-2 agonists? albuterol/ventolin
200
Only up to 6L/min because of nasal dryness, irritation, and gastric distension.
What is maximum liter flow to be delivered through a nasal cannula.
200

Falling pulse Ox reading, cyanosis, tachycardia and tachypnea with copious frothy sputum present.

What are signs that the patient requires suctioning?

200
Over 60 breaths per minute in an inactive infant, cyanosis, dyspnea, or retractions.
What are signs of infant respiratory distress and should be reported to physician promptly?
200
Sudden onset of fever, chills, cough and pleuritic chest pain?
What is acute pneumonia?
200
Medications utilized to decrease inflammation.
What are corticosteroids? pulmacort/advair
300
At 4-10 L/min, it can deliver 24-55% FiO2 (by adjusting its dial.)
What is a Ventrui Mask?
300

This should be done prior to suctioning to prevent a suction-induced complication

What is hyper-oxygenate patient. Suctioning removes air from the patient's airway and can cause hypoxemia. 

300
It is a sterile procedure at the hospital, but a clean procedure at home.
What are the usual home discharge instructions for suctioning?
300
Bloody secretions, increased cyanosis, tachycardia or bradycardia.
What are reasons to stop suctioning and notify the physician?
300
Utilized to determine allergens or triggers of asthma.
What is allergy testing?
400
At 6-15 L/min, it can deliver 60-100% O2
What is a non-rebreather mask?
400
Size 12-16 French cath with 100-120 mm Hg.
What is typical suction catheter size and vacuum pressure setting for adults.
400
16-20 breaths per minute without periods of apnea.
What is normal breathing in an adult?
400
Bright lights, fingernail polish, artificial nails, hypotnesion, vasoconstriction or low hemoglobin.
What can give false pulse oximeter readings?
400
Medications that help thin secretions so the patient is able to cough them up.
What are mucolytics.
500
100% O2 saturation consistently while oxygen is being administered?
What is a sign that oxygen may be too high and should be gradually decreased?
500

In the hospital setting airway suctioning is done as this type of procedure

What is sterile. In the home setting suctioning the airway is a non sterile procedure 

500
Delay this procedure for 2-3 hours after meals.
What is postural drainage.
500
To promote lung expansion and prevent atletesis post-operatively.
What is an incentive spirometer?
500
Using a mouthpiece or mask with a cup to distribute aerosolized medication for inhalation.
What are nebulizer treatments.
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