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Author Question: Both the respiratory therapist and the physician have made several attempts to intubate a patient. ... (Read 38 times)

MirandaLo

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on: Jul 16, 2018
Both the respiratory therapist and the physician have made several attempts to intubate a patient. The patient is becoming more and more cyanotic. Face mask ventilation is inadequate. The most appropriate action to take is which of the following?
 
  a. Administer a paralyzing agent.
  b. Make another attempt at oral intubation.
  c. Establish an airway with a tracheostomy.
  d. Attempt to establish a nasopharyngeal airway.

Question 2

The proper location for transtracheal needle insertion is:
 
  a. into the cricoid cartilage.
  b. through the cricothyroid membrane.
  c. between the first and second tracheal car-tilage rings.
  d. under the hyoid bone, through the thyro-hyoid ligament.


ngr69

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

ANS: C
According to the Difficult Airway Algorithm, in this type of situation, emergency invasive airway access should be initiated. This includes either surgical or percutaneous tracheostomy or cricothyrotomy.

Answer to Question 2

ANS: B
The simplest invasive airway device is a large-bore intravenous catheter inserted percutaneously through the cricothyroid membrane, a procedure called needle cricothyroidotomy. This easily identified space is located between the thyroid cartilage and the cricoid ring.


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MirandaLo

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Reply #2 on: Jul 16, 2018
TY


ngr69

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Reply #3 on: Jul 16, 2018
Happy to Help


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