Term
| The ET tube should be inserted so that it lies between the __ and __. |
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Definition
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Term
| The ET tube should extend no more than ___ beyond the patient's nose. |
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Definition
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Term
| Quick way to estimate diameter of ET tube? |
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Definition
| should fit between the nares (smaller for brachycephalic breeds) |
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Term
| General rule of thumb for ET tube sizing: For a __# animal, use a #__ tube. |
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Definition
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Term
| When placing an ET tube, what anatomical features are visible and help guide placement? |
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Definition
-arytenoid cartilages -vocal folds -epiglottis -soft palate |
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Term
| If using a topical anesthetic spray for ET tube placement, use ___ in cats and ___ in other animals. |
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Definition
cats: lidocaine other animals: cetacaine |
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Term
| When tying an ET tube in place, the tie can be placed in 2 different spots: |
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Definition
-on one jaw (behind canines) -behind ears |
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Term
| When tying the ET tube, make sure to place the tie on the ___ and not the ___. |
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Definition
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Term
| How to check for leaks after ETT placement? |
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Definition
-visualize placement -auscult both lungs -palpate neck -bag patient: listen/watch/smell -jiggle uninflated tube (clunks trachea) -steam in tube -bag moves appropriately |
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Term
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Definition
| soap and water, hang to dry |
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Term
Describe the types of ETT cuffs: -low vol / high pressure -high vol / low pressure |
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Definition
LVHP: smaller cuff, more pressure on trachea HVLP: bigger cuff, less pressure on trachea, wrinkly when deflated |
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Term
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Definition
| ETT with an additional hole near the end of the tube, decreases chance of occlusion |
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Term
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Definition
-cuff-less ETT, generally used for birds and reptiles -2 diameters, shoulder = seal for airway |
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Term
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Definition
| kinks easily, designed for reuse |
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Term
| ETT lengths are measured in __. |
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Definition
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Term
| What do ID and OD mean on an ETT? |
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Definition
| Inner Diameter, Outer Diameter |
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Term
| Diameter of ETT is measured in __. |
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Definition
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Term
| Some ETT have a blue/white/yellow line on them. What is it? |
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Definition
| radiopaque marker, shows up in rads |
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Term
| What happens if the ETT extends past the thoracic inlet? |
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Definition
| gases only go to one lung |
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Term
| Before tubing a patient, select __ ETTs to try. |
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Definition
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Term
| What anatomy must you manipulate when placing the ETT? |
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Definition
-push up soft palate -push down epiglottis |
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Term
| Why might we use lidocaine for ETT placement in a cat? |
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Definition
-glottis may spasm shut -cetacaine causes an inflammatory rxn |
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Term
| To prevent a patient from "swallowing" the ETT while we are intubating, what can we do? |
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Definition
| tip the head up, because it's hard to swallow in that position |
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Term
| What must we do to the ETT before insertion? |
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Definition
-leak test, then deflate -lube cuff |
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