Author Question: Although different techniques are used to actually remove the endotracheal tube during an ... (Read 7 times)

armygirl · **on:** Jul 16, 2018

Although different techniques are used to actually remove the endotracheal tube during an extu-bation procedure, all aim to ensure which of the following?

a. Maximal adduction of the vocal cords
b. Maximal abduction of the vocal cords
c. Maintenance of the appropriate cuff pres-sure
d. Elimination of the pharyngeal (gag) reflex

Question 2

To minimize laryngeal swelling, a physician orders continuous aerosol therapy after the extuba-tion of a patient. Which of the following specific approaches would you recommend?

a. Heated mist therapy through a jet nebuliz-er and aerosol mask
b. Cool mist therapy through a jet nebulizer and aerosol mask
c. Oxygen therapy through a venti-mask and bubble humidifier
d. Racemic epinephrine or saline through a small jet nebulizer

cdmart10 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: B
The technique used to remove the tube should help avoid aspiration of pharyngeal secretions and maximally abduct the vocal cords.

Answer to Question 2

ANS: B
If humidity/aerosol therapy is indicated, most clinicians suggest a cool mist immediately after extubation.