Which of the following groups of patients are considered at risk ...

[tatyanajohnson]

Which of the following groups of patients are considered at risk for reintubation?
 
  1. Patients with APACHE 2 score greater than 12 on the day of extubation
  2. Patients older than 45 years
  3. Patients with congestive heart failure (CHF)
  4. Patients with one or more weaning failure
  a. 1 and 3 only
  b. 1, 3, and 4 only
  c. 2 and 4 only
  d. 2, 3, and 4 only

Question 2

Which of the following restrictive thoracic diseases are successfully managed with noninvasive ventilation (NIV)? 1. Postpolio syndrome 2. Neuromuscular disease 3. Spinal cord injuries 4. Severe kyphoscoliosis
 
  a. 1, 2, and 4 only
  b. 1, 2, 3, and 4
  c. 2 and 4 only
  d. 2, 3, and 4 only

[fauacakatahaias]

Answer to Question 1

ANS: B
Overall, patients at risk were defined as those with chronic obstructive pulmonary disease (COPD) or CHF, ineffective cough and excessive secretions, one or more weaning failure, one or more comorbid condition, upper airway obstruction, age older than 65 years, and APACHE 2 score of greater than 12 on the day of extubation.

Answer to Question 2

ANS: B
Restrictive thoracic diseases successfully managed with NIV include postpolio syndrome, neu-romuscular diseases, chest wall deformities, spinal cord injuries, and severe kyphoscoliosis.