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Questions and Answers
Which of the following is a recommended method for oral care in intubated patients?
What is the maximum duration for withdrawal of the suction catheter during suctioning?
Which complications are associated with endotracheal tubes?
What is the recommended range for respiratory rate on a ventilator?
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Which of the following is an indication for suctioning?
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Which of the following is a contraindication for suctioning?
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What is the maximum suction pressure that should be used?
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Which of the following is a potential complication associated with endotracheal tubes?
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What is the recommended frequency for oral care in intubated patients?
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Which of the following is NOT a benefit of oral care in intubated patients?
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What is the recommended range for oxygen concentration (FIO2) on a ventilator?
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Which mode of invasive mechanical ventilation adjusts for resistance of non-flexible tubing?
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Which of the following is an indication for suctioning?
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Which of the following is a contraindication for suctioning?
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What is the recommended maximum suction pressure during suctioning?
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What external diameter size should be used for the suction catheter?
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What should be avoided during suctioning to prevent hypoxemia and lower airway colonization?
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Which mode of invasive mechanical ventilation adjusts for resistance of non-flexible tubing?
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What is the recommended maximum suction pressure during suctioning?
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Which of the following is a potential complication associated with endotracheal tubes?
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Study Notes
Oral Care in Intubated Patients
- Recommended methods include using a soft toothbrush and hydrating oral mucosa to prevent dryness.
- Frequency of oral care should be every 2-4 hours to reduce the risk of ventilator-associated pneumonia.
Suctioning Guidelines
- Maximum duration for withdrawal of the suction catheter is 10-15 seconds to minimize hypoxemia.
- Maximum suction pressure should not exceed 120 mmHg to avoid trauma to the airway.
- External diameter size for the suction catheter should be no more than 15% of the endotracheal tube diameter to ensure effective suctioning without obstruction.
Indications and Contraindications for Suctioning
- Indications for suctioning include visible secretions in the airway and decreased breath sounds.
- Contraindications include the presence of a severe airway obstruction and significant cardiac arrhythmias.
Ventilation Parameters
- Recommended range for respiratory rate on a ventilator is 12-20 breaths per minute to ensure adequate ventilation.
- Oxygen concentration (FIO2) on a ventilator should ideally be kept between 21-100% based on patient's oxygen needs.
Mechanical Ventilation Modes
- Assist-Control (AC) mode adjusts for resistance of non-flexible tubing, providing consistent support for the patient.
- Pressure Support Ventilation (PSV) can also adapt as it offers preset pressure levels during spontaneous breaths.
Complications Associated with Endotracheal Tubes
- Potential complications include ventilator-associated pneumonia, airway obstruction, and tracheal injury.
- Regular assessment and monitoring are critical to minimize these risks.
General Precautions
- During suctioning, avoid extended periods of suction to prevent hypoxemia and lower airway colonization.
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Description
Test your knowledge on avoiding intubation and the use of artificial airways in oxygen toxicity. This quiz covers topics such as pharyngeal airways, invasive mechanical ventilation, and indications for positive pressure ventilation.
