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MCRT EGANS 36

CH 36 Airway Management

QuestionAnswer
After insertion of an artificial airway into the tracheal, Please list the best ways to confirm the the artificial airways is in the proper location. color change, auscultation, breathing sound, bilateral breathing,
When document an Endotracheal Tube, Please list what you document. size tube, location of tube, cuff pressure, position tube, lip ulcers, bleeding
A physician has requested your assistance in extubating an orally intubated patient. Which of the following should be done before the tube itself is removed? 1. Suction the orolaryngopharynx 2. Preoxygenate the patient 3. Suction the endotracheal tube 4. Confirm cuff inflation
What is the primary indication for tracheal suctioning? D. Retention of secretions
What is the most common complication of suctioning? A. Hypoxemia
An adult man on vent has been intubated with a 7mm oral ETT equipped with a high-residual-volume, low-pressure cuff. When sealing the cuff to achieve a minimal occluding volume, you note a cuff pressure of 45 cm H2O. What is most likely the problem? a. The tube chosen is too small for the patient.
Complications of tracheal suctioning include which of the following? 1. Bronchospasm 3. Mucosal trauma 4. Elevated intracranial pressure
How often should patients be suctioned? c. When physical findings support the need
What is the normal range of negative pressure to use when suctioning an adult patient? a. -100 to -120 mm Hg
You are about to suction a 10-year-old patient who has a 6-mm (internal diameter) endotracheal tube in place. What is the maximum size of catheter that you would use in this case? c. 10 Fr
You are about to suction a female patient who has an 8-mm (internal diameter) endotracheal tube in place. What is the maximum size of catheter you would use in this case? d. 14 Fr
To prevent hypoxemia when suctioning a patient, the respiratory care practitioner should initially do which of the following? b. Preoxygenate the patient with 100% oxy-gen.
To maintain positive end expiratory pressure (PEEP) and high FiO2 when suctioning a mechanically ventilated patient, what would you recommend? b. Use a closed-system multi use suction catheter.
Total application time for endotracheal suction in adults should not exceed which of the following? c. 10 to 15 sec
Which of the following features incorporated into most modern endotracheal tubes assist in verifying proper tube placement? a. 1 and 2 only 1. Length markings on the curved body of the tube 2. Imbedded radiopaque
Which of the following drugs can be used to prevent bleeding during fiberoptic bronchoscopy? 1. Phenylephrine 3. Epinephrine
While suctioning a patient, you observe an abrupt change in the electrocardiogram waveform being displayed on the cardiac monitor. Which of the following actions would be most appropriate? b. Stop suctioning and immediately administer oxygen.
Which of the following can help to minimize the likelihood of mucosal trauma during suctioning b. 2 and 4 only 2. Rotate the catheter while withdrawing. 4. Limit the amount of negative pressure.
What is the normal range of negative pressure to use when suctioning children? c. -100 to -120 mm Hg
Absolute contraindication for nasotracheal suctioning includes which of the following? a, 1 and 2 only 1. Epiglottitis 2. Croup
After repeated nasotracheal suctioning over 2 days, a patient with retained secretions develops minor bleeding through the nose. Which of the following actions would you recommend? c. Stop the bleeding and use a nasopharyn-geal airway for access.
Created by: katt5769necole
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