Ex 1: ETT Suctioning/Extubation/Nonpharm interventions

Question 1

Endotracheal Suctioning

indications to suction?

Answer 1

Visible secretions
Coughing
Rhonchi
High PIP on ventilator
Ventilator alarm

Question 2

Endotracheal Suctioning

What intervention is vital prior/during suctioning?

Answer 2

Hyperoxygenate via ventilator

Question 3

Endotracheal Suctioning

What to avoid and why?

Answer 3

Avoid saline

as it is associated with hypoxemia and discomfort.

Question 4

Nonpharmacological Interventions

How to create a healing environment

Answer 4

Focus the plan of care on patient and family
Reduce noise levels
Reduce light stimulation
Provide reassurance
Adequate rest with near-normal sleep-wake cycles
Orientation measures (time, place

Question 5

Extubation

Assess for what complications post extubation?

Answer 5

Stridor
Hoarseness
Change in vital signs
Low oxygen saturation

Question 6

Extubation

What is common post extubation?

Answer 6

Dysphagia

Question 7

Extubation

What may prevent the need for reintubation?

Answer 7

NPPV

Noninvasive positive-pressure ventilation (NPPV)

• is the delivery of mechanical ventilatory support without an invasive nasotracheal or endotracheal tube, - using a tight-fitting face or nasal mask

Question 8

Extubation

Assessment prior to extubation?

Answer 8

Assess swallowing prior to initiating oral feedings

Question 9

Post Extubation

Assess what VS?

Answer 9

Assess:

RR, BP, HR, SPO2, Breathing, Chest pain