Question

You are called to an elder care facility for a resident who was arrested. Upon​ arrival, you are told by the nursing staff that the patient was found in the bed in cardiac​ arrest, and that he has NO DNR orders. You immediately note the patient has a stoma with NO tracheostomy tube​ placed, secondary to previous neck surgery from cancer. What is the BEST way to manage this​ patient's airway and ventilatory​ needs?

A. Gently insert an appropriately sized and lubricated endotracheal tube into the​ stoma, inflate the​ cuff, and begin ventilations.
B. Place a pediatric mask on the adult​ BVM, place the mask over the​ stoma, and ventilate.
C. Place a pediatric NRB over the stoma and apply oxygen at 15 lpm.
D. Perform a surgical cricothyrotomy above the stoma​ site, insert an appropriately sized and lubricated endotracheal​ tube, and ventilate.

Answer 1

The best way to manage the patient's airway and ventilatory needs is to gently insert an appropriately sized and lubricated endotracheal tube into the stoma, inflate the cuff, and begin ventilations. The option (A) is correct.

Step-by-step explanation:

In this scenario, the best way to manage the patient's airway and ventilatory needs is to Gently insert an appropriately sized and lubricated endotracheal tube into the stoma, inflate the cuff, and begin ventilations.

Intubation is a procedure used to bypass a blocked area in the respiratory system and allow air to reach the lungs. By inserting an endotracheal tube into the stoma, the airway can be secured and ventilation can be provided. This method ensures that the patient receives the necessary oxygen and maintains proper ventilation. Therefore, option (A) is correct.