Which of the following is not a method to reduce the risk of VAP? ...

[Sportsfan2111]

Which of the following is not a method to reduce the risk of VAP?
 
  a. Nasally intubate whenever possible.
  b. Provide intermittent nasogastric tube feedings.
  c. Keep patient in a semirecumbent position.
  d. Use heat/moisture exchangers when possi-ble.

Question 2

The main strategy for the management of VAP focuses on which of the following?
 
  a. Pharmacological treatment
  b. Early diagnosis and treatment
  c. Prophylactic antibiotic therapy
  d. Reduction of host-related risk factors

[cegalasso]

Answer to Question 1

ANS: A
Nasal intubation increases the risk of sinusitis, which is associated with ventilator-associated pneumonia. Intermittent nasogastric tube feedings, keeping the patient in a semirecumbent posi-tion, and using heat/moisture exchangers (HME) whenever possible are all methods to decrease the occurrence of VAP.

Answer to Question 2

ANS: B
Although considerable debate has taken place among clinicians regarding the most effective means of diagnosing and treating ventilator-associated pneumonia, it is agreed that successful management of VAP requires early diagnosis and appropriate use of antibiotic therapy to prevent the emergence of multidrug-resistant (MDR) microorganisms.