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Author Question: In considering a patient for extubation, which of the following would you recommend to mini-mize the ... (Read 33 times)

mcmcdaniel

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on: Jul 16, 2018
In considering a patient for extubation, which of the following would you recommend to mini-mize the risk of postextubation aspiration?
 
  a. Perform and confirm a positive cuff leak test.
  b. Discontinue (DC) tube feeding 4 to 6 hr before extubation.
  c. Perform deep endotracheal suctioning be-fore extubation.
  d. Keep the cuff inflated when removing the tube.

Question 2

Common causes for weaning failure include which of the following? 1. Myocardial ischemia 2. Critical illness polyneuropathy 3. Psychological dependence 4. Secondary polycythemia
 
  a. 1 and 3 only
  b. 1, 2, and 3 only
  c. 3 and 4 only
  d. 2, 3, and 4 only


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kbennett34

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Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: B
Withholding feeding 4 to 6 hr before extubation and clamping feeding tubes may be prudent.

Answer to Question 2

ANS: B
Myocardial ischemia may occur frequently among ventilator-dependent patients and has been associated with weaning failure. Critical illness polyneuropathy has been cited as a frequent cause of neuromuscular weaning failure among critically ill patients. Unsuspected neuromuscular dis-ease may be an important factor in ventilator dependency. Inability to wean can sometimes be attributed to psychological dependence, poor oxygenation status, or cardiovascular instability (congestive heart failure or ischemia).


mcmcdaniel

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Reply 2 on: Jul 16, 2018
Great answer, keep it coming :)

kthug

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Reply 3 on: Yesterday
Excellent

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