Which of the following factors should be considered when deciding ...

[frankwu]

Which of the following factors should be considered when deciding to change from an endotra-cheal tube to a tracheostomy tube?
 
  1. Patient's tolerance of the endotracheal tube
  2. Relative risks of continued intubation versus tracheostomy
  3. Patient's severity of illness and overall condition
  4. Length of time that the patient will need an artificial airway
  5. Patient's ability to tolerate a surgical procedure
  a. 1, 3, and 4 only
  b. 3, 4, and 5 only
  c. 2, 3, 4, and 5 only
  d. 1, 2, 3, 4, and 5

Question 2

What is the primary indication for tracheostomy?
 
  a. When a patient loses pharyngeal or laryn-geal reflexes
  b. When a patient has a long-term need for an artificial airway
  c. When a patient has been orally intubated for more than 24 hr
  d. When a patient has upper airway obstruc-tion due to secretions

[pami445]

Answer to Question 1

ANS: D
Pertinent factors that should be considered in making this decision are summarized in Box 36-5.

Answer to Question 2

ANS: B
Tracheotomy is the preferred, primary route for overcoming upper airway obstruction or trauma and for long-term care of patients with neuromuscular disease.