A patient exhibits persistent mild hypoxemia after a fiberoptic ...

[robinn137]

A patient exhibits persistent mild hypoxemia after a fiberoptic bronchoscopy procedure. Which of the following would you recommend?
 
  a. Continue oxygen therapy and reassess in 4 hr.
  b. Administer a benzodiazepine (e.g., Valium or Versed).
  c. Administer a racemic epinephrine aerosol treatment.
  d. Have the patient refrain from eating or drinking.

Question 2

A patient exhibits persistent stridor after a fiberoptic bronchoscopy procedure. Which of the fol-lowing would you recommend?
 
  a. Aerosol therapy with albuterol (Proventil)
  b. Administration of a benzodiazepine (e.g., Valium)
  c. Aerosol therapy with racemic epinephrine
  d. Administration of a narcotic antagonist (e.g., Narcan)

[LVPMS]

Answer to Question 1

ANS: A
Hypoxemia that occurs during the procedure may persist after completion. Oxygen therapy should be maintained for up to 4 hr.

Answer to Question 2

ANS: C
Patients should also be assessed for the development of stridor or wheezes. The physician should be notified and appropriate aerosol therapy with nebulized racemic epinephrine or bronchodila-tors should be instituted.