NPS-imaging studies

Question 1

What is optinum placement of ETT in an infant with uncuffed ETT

Answer 1

Mid-trachea between T2 - T4

Question 2

Your pt is intubated with an uncuffed ETT and has new onset cyanosis, irritability, and decreased sp02 with a negative transillumination ( PTX)…. what could this mean?

Answer 2

right mainstem intubation or inadvertent extubation…self extubation…. make sure to listen to breath sounds

Question 3

where should the ETT be positioned for a child with a cuffed ETT ?

Answer 3

ETT should be positioned below the vocal cords, in mid-trachea, and approx. 1-2 cm or .5 -1 in above the carina

Question 4

How do you quickly detect that ETT is in the correct position?

Answer 4

observation, auscultation, and detection of exhaled C02

Question 5

Where should chest tubes be placed?

Answer 5

in the pleural space surrounding the lung

Question 6

Where should a umbilical artery catheter be placed?

Answer 6

above the aortic bifurcation @ the level of L3-L4 (low position) or high position above the diaphragm at T6-T8 or T9

Question 7

In a CXR the right hemidiaphragm is slightly higher than the left… what does this indicate?

Answer 7

a normal CXR