Which intervention will limit complications associated with open suctioning for an adult with a tracheostomy tube who is on a mechanical ventilator?

A. Perform subglottal suctioning before suctioning the tracheostomy tube.

B. Assure that the suction vacuum is set at 60 to 80 mm Hg before suctioning.

C. Lightly coat the distal end of the suction catheter with water-soluble lubricant before suctioning.

D. Limit each suctioning pass to 10 seconds or less.

To limit complications from open suctioning in tracheostomy tube patients, limit each suctioning pass to 10 seconds, perform subglottal suctioning before tracheostomy tube suctioning, assure the suction vacuum is set at 60 to 80 mm Hg, and lightly coat the suction catheter's distal end with a water-soluble lubricant before suctioning.

Explanation:

To limit complications associated with open suctioning in an adult with a tracheostomy tube who is on a mechanical ventilator, it's beneficial to perform all the interventions listed. However, the most crucial aspect is to limit each suctioning pass to 10 seconds or less. This action is essential to minimize hypoxia (reduced oxygen supply) during the suctioning process, as prolonged suctioning can lead to significant decreases in oxygen levels in the blood. On top of that, it's also important to perform subglottal suctioning before suctioning the tracheostomy tube, assure the suction vacuum is + set at 60 to 80 mm Hg before suctioning, and lightly coat the distal end of the suction catheter with a water-soluble lubricant before suctioning.

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