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Author Question: After removal of an oral endotracheal tube, a patient exhibits hoarseness and stridor that do not ... (Read 26 times)

corkyiscool3328

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on: Jul 16, 2018
After removal of an oral endotracheal tube, a patient exhibits hoarseness and stridor that do not resolve with racemic epinephrine treatments. What is most likely the problem?
 
  a. Vocal cord paralysis
  b. Tracheoesophageal fistula
  c. Glottic edema or cord inflammation
  d. Tracheomalacia

Question 2

Tracheal stenosis occurs in as many as 1 in 10 patients after prolonged tracheostomy. At what sites does this stenosis usually occur? 1. Cuff site 2. Tip of the tube 3. Stoma site
 
  a. 1 and 2 only
  b. 1 and 3 only
  c. 2 and 3 only
  d. 1, 2, and 3


jonathanballen97

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

ANS: A
Vocal cord paralysis is likely in extubated patients with hoarseness and stridor that does not re-solve with treatment or time.

Answer to Question 2

ANS: D
In patients with tracheostomy tubes, stenosis may occur at the cuff, tube tip, or stoma sites, with the stoma site being the most common.


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