Question

During multidisciplinary rounds, the physician orders the INSURE protocol. Which of the following should the RT anticipate?

a) Immediate extubation after surfactant administration
b) Continued mechanical ventilation
c) Administration of inhaled nitric oxide
d) Intravenous antibiotic therapy

Answer 1

The RT should anticipate immediate extubation after surfactant administration when the physician orders the INSURE protocol.

Step-by-step explanation:

During multidisciplinary rounds, the physician orders the INSURE protocol, which stands for INtubation SURfactant Extubation. This protocol is commonly used in the treatment of respiratory distress syndrome (RDS) in premature infants. The key steps of the INSURE protocol are as follows:

1. Intubation: The infant is intubated and placed on mechanical ventilation to assist with breathing.
2. Surfactant administration: Pulmonary surfactant is administered to improve lung function.
3. Extubation: After surfactant administration, there is a possibility of immediate extubation, which means removing the endotracheal tube and discontinuing mechanical ventilation.

Therefore, the RT should anticipate the option a) Immediate extubation after surfactant administration when the physician orders the INSURE protocol.