Which of the following strategies would you recommend for a ...

[Marty]

Which of the following strategies would you recommend for a hemodynamically unstable patient with an intact upper airway who requires home ventilatory support?
 
  a. Invasive positive pressure ventilation
  b. Noninvasive positive pressure ventilation
  c. Abdominal displacement ventilation
  d. Negative pressure ventilation

Question 2

In which of the following situations would you recommend that more than one ventilator be pro-vided for a home care patient?
 
  1. If the patient cannot maintain spontaneous ventilation for at least 1 hr
  2. If the patient's care plan requires mechanical ventilation during mobility
  3. If a replacement ventilator cannot be secured within 2 hr
  a. 1 and 2 only
  b. 2 and 3 only
  c. 1 and 3 only
  d. 1, 2, and 3

[anoriega3]

Answer to Question 1

ANS: D
In patients with an intact upper airway for whom noninvasive positive pressure ventilation is contraindicated or unsuccessful, a negative pressure ventilator should be considered.

Answer to Question 2

ANS: B
A second back-up ventilator should be provided for patients who cannot maintain spontaneous ventilation for more than four consecutive hours, for patients living in an area where a replace-ment ventilator cannot be secured within 2 hr, and for patients whose care plan requires mechan-ical ventilation during mobility.