Author Question: What intervention is necessary when weaning a child from the ventilator? a. Light sedation before ... (Read 24 times)

debasdf · **on:** Jun 28, 2018

What intervention is necessary when weaning a child from the ventilator?

a. Light sedation before scheduled extubation
b. No suctioning before scheduled extubation
c. Cool mist begun immediately after extubation
d. Vigorous chest physiotherapy and suctioning performed immediately after extubation

Question 2

When is bronchial (postural) drainage generally performed?

a. Before meals and at bedtime
b. Right before all aerosol therapy
c. Immediately on arising and at bedtime
d. Thirty minutes after meals and at bedtime

momolu · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
A cool mist or noninvasive oxygen therapy is initiated immediately after extubation. Steroids may be administered to minimize any laryngeal edema. Analgesics may be given, but sedation is not usually indicated. The child is suctioned just before extubation to ensure that the airway is clear. Chest physiotherapy and suctioning are performed before extubation.

Answer to Question 2

ANS: A
The therapy should be done at bedtime and before meals or 1 to 1 1/2 hours after meals to avoid stomach upset. Postural drainage is most effective when it is performed after other respiratory therapy interventions, including bronchodilator and nebulizer treatments. Immediately on arising and at bedtime are appropriate times, but postural drainage is usually carried out at least three times each day. Thirty minutes after meals may induce vomiting.