Advanced Airway Management: Advantages and Disadvantages

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What is the primary goal of ventilator management in patients with respiratory failure?

Attainment of optimal mobility

Optimization of cardiac function

Absence of complications

Maintenance of normal PaO2 levels (correct)

What is the recommended initial FiO2 setting for patients with respiratory failure?

40%

100% (correct)

60%

80%

What is the primary concern when using high levels of PEEP in ventilator management?

Barotrauma (correct)

Decreased cardiac output

Ventilator-acquired pneumonia

Hypoxia

What is the recommended strategy for weaning patients off the ventilator?

Judicious use of analgesics Signup and view all the answers

What is the primary indicator of successful ventilator management in patients with respiratory failure?

Trends in ABG levels Signup and view all the answers

What is the primary purpose of using an ambu bag during ventilator management?

To properly ventilate the patient during ventilator setup Signup and view all the answers

What is a potential complication of long-term mechanical ventilation using an endotracheal tube?

All of the above Signup and view all the answers

What is the primary purpose of mechanical ventilation in patients with respiratory failure?

To improve oxygenation and decrease work of breathing Signup and view all the answers

What is the recommended pressure range for mechanical ventilation using a tracheostomy?

20-25 mmHg Signup and view all the answers

What is a potential complication of mechanical ventilation that can lead to dehydration and skin breakdown?

Immobilization and prolonged bed rest Signup and view all the answers

What is the advantage of using a fenestrated tracheostomy in long-term ventilation?

It permits normal breathing and eating Signup and view all the answers

What is the primary reason for replacing an endotracheal tube with a tracheostomy in respiratory failure?

To bypass the upper airway obstruction Signup and view all the answers

Which of the following is a contraindication to the use of non-invasive positive-pressure ventilation (NIPPV)?

Patient's lack of motivation to use the device Signup and view all the answers

What is the primary difference between positive-pressure ventilators and negative-pressure ventilators?

The direction of pressure exerted on the airway or chest wall Signup and view all the answers

Which of the following is an indication for the use of mechanical ventilation?

Persistent acidosis with a pH of 7.25 Signup and view all the answers

What is the primary goal of respiratory management in a patient with acute respiratory failure?

To restore gas exchange in the lungs Signup and view all the answers

What is the indication for intubation in a patient with acute respiratory failure?

Hypoxemia, hypercapnia, and acid-base imbalance Signup and view all the answers

What is the complication of ventilator management that occurs when a patient requires a high FiO2?

Barotrauma Signup and view all the answers

What is the primary purpose of bipap therapy in a patient with acute respiratory failure?

To manage oxygenation and ventilation Signup and view all the answers

Why is it important to frequently test ABGs in a patient on a ventilator?

To adjust ventilator settings Signup and view all the answers

What is the primary reason for not immediately adjusting the RAS if it is at -1 and the patient is stable?

To avoid retarding the weaning process Signup and view all the answers

What is a crucial aspect of patient and family teaching during ventilator care?

The use of an alphabet board for communication Signup and view all the answers

Which of the following is a critical component of nursing care for patients with an endotracheal tube (ETT)?

Turning and positioning the patient Signup and view all the answers

What is a key objective of performing a 'sedation vacation' in ventilated patients?

To evaluate the patient's readiness for extubation Signup and view all the answers

What is a potential complication of removing the endotracheal tube (ETT) in ventilated patients?

Airway compromise Signup and view all the answers

What is the most appropriate intervention for a patient with anaphylaxis and airway obstruction?

Give racemic epinephrine and steroids Signup and view all the answers

A patient is experiencing severe bleeding due to an anticoagulation problem. What is the most likely cause?

Too much coumadin Signup and view all the answers

A patient with a respiratory tract infection is experiencing severe respiratory distress. What is the most appropriate order of interventions?

Ventimask → Bipap → Intubation Signup and view all the answers

A patient with a compromised airway is at risk for what complication?

Aspiration Signup and view all the answers

What is the primary goal of managing a patient with upper airway obstruction?

Maintaining adequate oxygenation Signup and view all the answers

What is the primary purpose of assessing the patient's RAS Scale during intubation?

To evaluate the patient's level of sedation Signup and view all the answers

Why is it important to monitor the patient's pulse ox during intubation?

To monitor the patient's oxygen saturation levels Signup and view all the answers

What is the recommended action if the patient's pulse ox decreases below 90 during intubation?

Inform the provider and prepare for potential cardiac arrest Signup and view all the answers

Why is capnography testing important after intubation?

To confirm the correct placement of the endotracheal tube Signup and view all the answers

What is the purpose of suctioning the patient during ventilation?

To remove secretions from the airway Signup and view all the answers

Why is DVT prophylaxis important for patients on a ventilator?

To prevent deep vein thrombosis Signup and view all the answers

What is the purpose of sedation vacation in ventilated patients?

To wean the patient off the ventilator Signup and view all the answers

Why is it important to turn and position the patient every 2 hours during ventilation?

To prevent skin breakdown and pressure ulcers Signup and view all the answers

What is the purpose of oral care with chlorhexidine during ventilation?

To prevent mucous membrane cracking and infection Signup and view all the answers

Why is it important to communicate with the patient during ventilation?

To inform the patient of their condition and treatment Signup and view all the answers