Regarding patients receiving mechanical ventilation for ...

[Charlie]

Regarding patients receiving mechanical ventilation for Guillain-Barr syndrome, when do the authors in the text recommend weaning begin?
 
  A. No time was stipulated.
  B. within the 2 weeks of mechanical ventilation
  C. anytime after 2 weeks of receiving mechanical ventilation
  D. anytime after 3 weeks of receiving mechanical ventilation

Question 2

A patient with a neuromuscular disease has been assessed by the therapist, and the information obtained is listed below:   Inability to speak in full sentences   Orthopnea   FVC 8 ml/kg   MIP  18 cm H2O   Paradoxical inward motion of diaphragm during inspiration Based on these findings, what should the therapist recommend at this time for this patient?
 
  A. Continue monitoring this patient.
  B. Recommend the bronchial hygiene protocol.
  C. Propose the implementation of the O2 therapy protocol.
  D. Suggest intubation and mechanical ventilation.

[ryrychapman11]

Answer to Question 1

ANS: B
A. Incorrect response: See explanation B.
B. Correct response: According to the authors of chapter 17 (page 317) in the text, patients receiving mechanical ventilation for Guillain-Barr syndrome can be weaned within the first 2 weeks of ventilator commitment.
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.

Answer to Question 2

ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: Patients with neuromuscular disease must be assessed for the ability to maintain a patent airway. Orthopnea, inability to speak in complete sentences, or paradoxical inward abdominal motion during inspiration indicate respiratory muscle weakness and fatigue. A drop in FVC below 15 ml/kg and an MIP of less than 25 cm H2O are considered to be an indication for prophylactic intubation and mechanical ventilation.

[Charlie]

Thanks for the timely response, appreciate it

[Joy Chen]

TYSM