Which of the following groups of patients with nocturnal ...

[lak]

Which of the following groups of patients with nocturnal hypoventilation respond to noninvasive ventilation (NIV)?
 
  a. Hypoxic
  b. Hypercapnic
  c. Acidotic
  d. Hypocapnic

Question 2

Which of the following findings are exclusion criteria for using noninvasive ventilation (NIV) in the patient with acute respiratory failure?
 
  1. Apnea
  2. Hemodynamic or cardiac instability
  3. Low risk of aspiration
  4. Lack of cooperation by the patient
  a. 1 and 3 only
  b. 1, 2, and 4 only
  c. 3 and 4 only
  d. 2, 3, and 4 only

[pami445]

Answer to Question 1

ANS: B
Patients with hypercapnic and nocturnal desaturation may be most likely to benefit from noctur-nal NIV.

Answer to Question 2

ANS: B
Exclusion criteria include apnea, hemodynamic or cardiac instability, lack of cooperation by the patient, facial burns, facial trauma, copious amounts of secretions, high risk of aspiration, and an-atomic abnormalities that interfere with gas delivery.