What can stimulate parasympathetic receptors located near and on the carina?
  1. The tracheal tube not being inserted deep enough
  2. An unsecured tracheal tube that has slid down inside the trachea
  3. Both A and B
  4. Neither A nor B
Explanation
Answer - B - An unsecured tracheal tube that has slid down inside the trachea can stimulate parasympathetic receptors located near and on the carina. Once activated, these receptors can precipitate bradycardia and hypotension. Securing a tracheal tube does little in terms of preventing a patient from biting down on the tube so a bite block or oropharyngeal airway could be employed.
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