This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: What is the role of NPPV in cystic fibrosis patients? A. NPPV has no role in the treatment of ... (Read 26 times)

EY67

  • Hero Member
  • *****
  • Posts: 531
on: Jul 16, 2018
What is the role of NPPV in cystic fibrosis patients?
 
  A. NPPV has no role in the treatment of cystic fibrosis.
  B. It reduces the need for intubation when these patients have pneumonia.
  C. NPPV is used in lung transplantation candidates who deteriorate before surgery.
  D. NPPV facilitates the removal of tracheobronchial secretions in these patients.

Question 2

A patient who enters the emergency department has an exacerbation of COPD complicated by pneumonia. The patient is hemodynamically stable, demonstrates a strong cough, and has ABG data consistent with respiratory failure. Which of the following therapeutic interventions would be appropriate at this time?
 
  A. endotracheal intubation and a T-piece
  B. endotracheal intubation and invasive positive-pressure ventilation
  C. negative pressure ventilation
  D. noninvasive positive-pressure ventilation


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

raenoj

  • Sr. Member
  • ****
  • Posts: 340
Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: C (page 369)
Cognitive Level: Recall
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: NPPV has been used mainly as a bridge to transplantation for patients with cystic fibrosis who deteriorate. These patients may remain severely hypercapnic and require aggressive management of secretion removal. However, NPPV enables avoidance of intubation.
D. Incorrect response: See explanation C

Answer to Question 2

ANS: D (page 367)
Cognitive Level: Application
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: In the setting of an exacerbation of COPD, NPPV consisting of pressure support and positive end-expiratory pressure, or bilevel positive airway pressure (BiPAP), is well-suited to avert respiratory failure, endotracheal intubation, and invasive positive-pressure ventilation. Clinical evidence justifies the use of NPPV for COPD exacerbations when complicated by pneumonia, do-not-resuscitate situations, or postoperative or postextubation respiratory failure.


EY67

  • Member
  • Posts: 531
Reply 2 on: Jul 16, 2018
:D TYSM

kthug

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

Approximately one in three babies in the United States is now delivered by cesarean section. The number of cesarean sections in the United States has risen 46% since 1996.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Transurethral resection of the prostate (TURP). As a treatment for BPH, part of the prostate gland i Transurethral resection of the prostate (TURP). As a treatment for BPH, part of the prostate gland i
Communicating with patients with special needs Communicating with patients with special needs
Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious
Phantom Limb Treatment Phantom Limb Treatment
Algorithm for Treatment of Hypothermia Algorithm for Treatment of Hypothermia
The functional role of pRB. The pRB protein product of RB1 The functional role of pRB. The pRB protein product of RB1
Video: Endocytosis -Types and Phagocytosis

For a complete list of videos, visit our video library