PRACTICE TEST EXAM 2 WITH GRADED
ANSWERS
Tracheostomy because there is less airway
resistance with the smaller tube
Which is better ET tube or trach? Why?
ET Tube --> short term, long tube --> allows no
use of the natural trachea
Trach--> long term, short tube --> allows use of
patients natural trachea
What is the difference in the ET tube and the
trach?
Spontaneous--> negative pressure
Ventilation --> positive pressure
What is the difference in pressure during
spontaneous (normal) breathing and ventilation?
,can effect venous return and decrease CARDIAC
OUTPUT! (from over inflated lungs)
can damage lung tissue--> pneumothorax
can effect gut, kidneys, and other organs
What negative effects can the positive pressure
with ventilation cause?
oxygenation --> delivering oxygen to the blood
ventilation--> moving gas in and out
What is the difference between oxygenation and
ventilation?
Intubation --> putting in the ET tube
Extubation --> removing ET tube
What is intubation? extubation?
maintain airwat
reduce work of breathing
, remove secretions
provide ventilation and O2
What is the purpose of intubation?
Oral --> best to avoid bacteria, quickest, easiest
for emergencies
Nasal--> can be used when there is oral trauma or
when oral is not possible
Discuss the differences between nasal and oral
intubation?
2 cm above the corina
Where is the ET tube placed in the patient?
only one side will inflate (usually the right lung)
can damage the vocal chords
What happens if the ET tube is too far?
2 methods:
1.) breath sounds