Soon after endotracheal tube extubation, an adult patient exhibits a high-pitched inspiratory noise, heard without a stethoscope. Which of the following actions would you recommend?
a. STAT-heated aerosol treatment with saline
b. STAT racemic epinephrine aerosol treat-ment
c. Careful observation of the patient for 6 hr
d. Immediate reintubation via the nasal route
ANS: B
Stridor is often treated with epinephrine (2.25% racemic solution or levoepinephrine 1:1000) via aerosol.
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