Page 221 - Clinical Application of Mechanical Ventilation

Airway Management in Mechanical Ventilation 187

19. A 25-year-old postappendectomy patient extubated herself and the therapist is asked to evaluate this
patient for possible reintubation. Based on the following list of clinical predictors for reintubation, the
therapist should recommend that the patient _______ since she has met _______ of the predictors.

Unfavorable Clinical Predictor
1. SIMV frequency 5 8/min

2. Most recent pH 5 7.42

3. Most recent PaO /FIO 5 210 mm Hg
2
2
4. Highest heart rate in the past 24° 5 110/min
5. Patient diagnosis is appendicitis

6. Patient is alert
7. Patient is in postoperative recovery

A. be reintubated, 2 C. not be reintubated, 2
B. be reintubated, 4 D. not be reintubated, 4

20. A patient develops bradycardia during an intubation attempt. The therapist should stop intubation im-
mediately and _______ the patient since this condition is likely caused by _______.

A. rest, vagal stimulation C. oxygenate, hypoxia
B. ventilate, hypoventilation D. defibrillate, impending cardiac arrest

21. Several hours after endotracheal intubation, a 35-year-old patient becomes restless in spite of using seda-
tives and analgesics. The physician is concerned that the ET tube may move down the main bronchus
because of excessive head movement. The therapist should recommend _______ and the tip of the ET
tube be positioned about _______ in. from the carina.
A. auscultation, 0.5 C. chest radiograph, 0.5
B. auscultation, 1.5 D. chest radiograph, 1.5

Answers to Self-Assessment Questions

1. B. 7. A. 13. D. 19. C.

2. D. 8. D. 14. A. 20. A.
3. A. 9. B. 15. B. 21. D.

4. C. 10. D. 16. B.
5. B. 11. C. 17. C.

6. C. 12. C. 18. A.

Copyright 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.