For which home care patients requiring mechanical ventilation ...

[haleyc112]

For which home care patients requiring mechanical ventilation would you recommend a portable volume-cycled ventilator rather than a pressure-limited device?
 
  1. Those with a neuromuscular or neurologic disorder
  2. Those who cannot sustain any spontaneous breathing
  3. Those with chronic obstructive pulmonary disease
  a. 1 and 2 only
  b. 2 and 3 only
  c. 1 and 3 only
  d. 1, 2, and 3

Question 2

A home care patient receiving continuous noninvasive positive pressure ventilation through a na-sal mask complains of pressure sores over the nasal bridge. Which of the following actions could help to alleviate this problem?
 
  1. Artificial skin
  2. Forehead spacer
  3. Reduce strap tension
  4. Try nasal pillows
  a. 2 and 4 only
  b. 1, 2, and 3 only
  c. 3 and 4 only
  d. 1, 2, 3, and 4

[vseab]

Answer to Question 1

ANS: A
Those with neuromuscular or neurologic disorders often favor the consistent high inflations pro-vided by volume ventilation, which enhance coughing and phonation. In addition, the alarm ca-pabilities and internal battery backup provided with current portable volume ventilators make them the best choice for patients who cannot sustain any spontaneous breathing.

Answer to Question 2

ANS: D
Table 56-7 summarizes some of the common problems associated with noninvasive positive pres-sure ventilation interfaces and how to correct them.