Airway Care
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Extubation Step:1 | Suction Airway below and then above the cuff
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| Extubation Step:2 | Deflate Cuff
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| Extubation Step:3 | Have patient inspire deeply
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| Extubation Step:4 | Remove the tube at PEAK INSPIRATION- to prevent vocal cord damage
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| Extubation Step:5 | Have the patient cough To clear any remaining secretions
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| Extubation Step:6 | Administer Oxygen and Humidity if/as indicated
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| Extubation Step:7 | Observe any complications
* Laryngeal Edema ( Stridor)
* Respiratory Obstruction
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| Complications and management: Severe Respiratory Distress Marked/Inspiratory Stridor | REINTUBATE the patient
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| Complications and management: Moderate Distress/Stridor | Oxygen, cool mist aerosol and racemic epinephrine, to reduce swelling
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| Complications and management: Mild/Stridor/ Sore Throat | Provide Humidity, Oxygen and/or racemic epinephrine as necessary
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| Post-Extubation Complications: Vocal Cord Polyps | due to chronic inflammation
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| Post-Extubation Complications: Mucosal ulceration | torn mucosal, doesn't require re intubation
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| Post-Extubation Complications: Tracheomalacia | softening or dilation of tracheal cartilage
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| Post-Extubation Complications: Tracheostenosis | gradual obstruction (narrowing) that occurs with healing causing stridor
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Created by:
sukarieh
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