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Steps for suctioning an *endotracheal tube (ETT):*

1. Gather all necessary equipment, including suction catheter, suction tubing, sterile gloves, and saline solution.
2. Wash hands thoroughly and put on sterile gloves.
3. Connect the suction catheter to the suction tubing.
4. Pre-oxygenate the patient to prevent hypoxia during suctioning.
5. Gently insert the suction catheter into the endotracheal tube without applying suction.
6. Apply suction while withdrawing the catheter in a rotating motion.
7. Limit suctioning time to 10-15 seconds to minimize oxygen deprivation.
8. Rinse the catheter with saline to clear any remaining secretions.
9. Reassess the patient’s respiratory status and repeat if necessary.
10. Dispose of all used materials properly and wash hands.

Answer :

Final answer:

When suctioning an endotracheal tube (ETT), follow these steps: ensure necessary equipment, gently insert catheter, apply suction while withdrawing, consider saline instillation, assess patient after suctioning.

Explanation:

When suctioning an endotracheal tube (ETT), there are several important steps to follow:

  1. Ensure that you have the necessary equipment such as suction catheters, gloves, and personal protective equipment.
  2. Gently insert the suction catheter into the ETT, using a twisting motion to minimize trauma to the airway.
  3. Apply suction while withdrawing the catheter, being careful not to suction for too long to avoid hypoxia.
  4. If secretions are thick, you may need to instill sterile saline into the ETT to help loosen them before suctioning.
  5. After suctioning, assess the patient's oxygenation and ventilation to ensure there are no adverse effects.