Soon after endotracheal tube extubation, an adult patient ...

[Kikoku]

Soon after endotracheal tube extubation, an adult patient exhibits a high-pitched inspiratory noise, heard without a stethoscope. Which of the following actions would you recommend?
 
  a. STAT-heated aerosol treatment with saline
  b. STAT racemic epinephrine aerosol treat-ment
  c. Careful observation of the patient for 6 hr
  d. Immediate reintubation via the nasal route

Question 2

Which of the following injuries are seen with tracheostomy tubes? 1. Tracheomalacia 2. Tracheal stenosis 3. Glottic edema 4. Vocal cord granulomas
 
  a. 1 and 2 only
  b. 2 and 4 only
  c. 3 and 4 only
  d. 1, 2, and 3 only

[nyrave]

Answer to Question 1

ANS: B
Stridor is often treated with epinephrine (2.25 racemic solution or levoepinephrine 1:1000) via aerosol.

Answer to Question 2

ANS: A
Whereas laryngeal lesions occur only with oral or nasal endotracheal tubes, tracheal lesions can occur with any tracheal airway. These tracheal lesions are granulomas, tracheomalacia, and tra-cheal stenosis.

[Kikoku]

Wow, this really help

[Sarahjh]

Thanks for the timely response, appreciate it