Nasotracheal Suctioning is necessary when a patient can’t cough to bring up secretions from the lungs and does not have an artificial airway.  It should only be done when the secretions are of detriment to the patient and all other methods to remove secretions have failed.  This patient model was much more calm and relaxed then you would expect to find in a real scenario.

  Secretions may be deemed as detrimental when they cause the patient
distress, or cause physiological derangement e.g. impaired ABGs, (arterial blood gasses) as reduced SaO2 (arterial oxygen saturation) and/or increased respiratory rate.

  Bleeding disorder would be a contraindication if there is risk of causing a bleed by inserting the catheter tip that could make the patient worse off.

  Epiglottitis is a swollen epiglottis, the cartilage that covers you trachea when you swallow.  It would be hard to get a catheter tip past that and could make things worse.

 Laryngospasms is when the vocal cords suddenly spasm closed when taking in a breath, blocking the flow of air into the lungs.  It’s very scary for the patient and a nasotracheal tube is contraindicated for that condition as the video states.

*Consult your instructor and policy & procedure manual before preforming any nursing procedures. Slight differences may exist between this resource and your institution’s desired method.
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