An advantage of the closed (in-line) system for suctioning of an ET or tracheostomy tube is that:

A. There are no complications of its use
B. Longer periods of suctioning are allowed
C. The artificial airway does not have to be disconnected
D. The need to hyperinflate the client in advance is eliminated


C
C. Closed system or in-line suction catheter is connected to the artificial airway.
A. Reassess cardiopulmonary status, including pulse oximetry, to determine need for subsequent suctioning or complications.
B. Repeat one to two more times to clear secretions. Allow adequate time (at least 1 full minute) between suction passes for ventilation and reoxygenation.
D. Hyperinflate and/or hyperoxygenate client with bag-valve-mask or manual breathing mechanism on mechanical ventilator according to institution protocol and clinical status (usually 100% oxygen).

Nursing

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