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A nurse is caring for a patient following an endotracheal extubation. Which of the following is NOT a nursing care aspect in this case?

A nurse is caring for a patient following an endotracheal extubation. Which of the following is NOT a nursing care aspect in this case? Correct Answer Do not provide mouth care to prevent bleeding

Concept:-

Endotracheal extubation:

Indications

Provisions

Examples

Apnoea

Mechanical ventilation

Unconsciousness, Respiratory muscles weakness, self-poisoning

Respiratory Failure

Mechanical ventilation

ARDS, pneumonia 11

Airway Protection

Mechanical ventilation

Unconsciousness, Trauma, Aspiration risk, poisoning

Airway Obstruction

Airway patency

Trauma, Laryngeal edema, tumor, burns

Hemodynamic instability

Mechanical ventilation

Shock, cardiac arrest

 

Equipment and Materials:

  • Intubation Equipment: These items are contained in the bedside intubation boxes.
  • Laryngoscope and Blades: Appropriate size for patients
  • Endotracheal tubes
  • Tape and tube fixation device.

Nursing Care for Endotracheal Extubation:

  1. Confirm Equipment and suction are working properly
  2. Pre oxygenate the patient for intubation
  3. Administer medications for intubation
  4. Provide good oral hygiene
  5. Reposition the tube from side to side
  6. Suction whenever needed
  7. Monitor respiratory rate and chest excursions
  8. Note markings on the tube to ensure the proper position is maintained
  9. Do not give anything orally (NPO

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