When performing endotracheal suctioning the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for how long?

Instruct the client to remain in each position of the postural drainage sequence for 10 to 15 minutes.

Postural drainage is usually performed two to four times daily, before meals (to prevent nausea, vomiting, and aspiration) and at bedtime. Prescribed bronchodilators, water, or saline may be nebulized and inhaled before postural drainage to dilate the bronchioles, reduce bronchospasm, decrease the thickness of mucus and sputum, and combat edema of the bronchial walls. The nurse instructs the client to remain in each position for 10 to 15 minutes and to breathe in slowly through the nose and out slowly through pursed lips to help keep the airways open so that secretions can drain while in each position. If the sputum is foul-smelling, it is important to perform postural drainage in a room away from other patients or family members. (Deodorizers may be used to counteract the odor. Because aerosol sprays can cause bronchospasm and irritation, they should be used sparingly and with caution.)

When performing endotracheal suctioning the nurse supplies suctioning while withdrawing and gently rotating the catheter 360 for how long?

Suction using a clean, non touch technique. Gently introduce the suction catheter into the endotracheal tube to the pre-measured depth. Apply suction & gently rotate the catheter while withdrawing. Each suction should not be any longer than 5–10 s.

What is the maximum time the nurse apply suction when performing endotracheal?

Do not suction too long! The maximum suction time should only be 15 seconds. After suctioning, re-oxygenate the patient.

At what suction level should the nurse set the system?

At what suction level should the nurse set the system? The amount of suction is determined by the water level. It is usually set at 20 cm H2O; adding more fluid results in more suction.

What range of pressure within the endotracheal tube cuff does the nurse maintain to prevent both injury and aspiration?

The cuff is inflated to seal the airway to deliver mechanical ventilation. A cuff pressure between 20 and 30 cm H2O is recommended to provide an adequate seal and reduce the risk of complications.