This topic contains a solution. Click here to go to the answer

Author Question: Myasthenia gravis is causing a patient to have respiratory muscle weakness. He has a vital capac-ity ... (Read 57 times)

bucstennis@aim.com

  • Hero Member
  • *****
  • Posts: 532
Myasthenia gravis is causing a patient to have respiratory muscle weakness. He has a vital capac-ity of 5 mL/kg and is unable to cough effectively. What therapy would you recommend to help prevent pulmonary complications?
 
  a. Incentive spirometry
  b. Deep-breathing exercises
  c. Positive expiratory pressure
  d. Intermittent positive-pressure breathing

Question 2

To determine outcome for a patient undergoing intermittent positive-pressure breathing (IPPB) therapy, the respiratory therapist should assess which of the following?
 
  1. Peak expiratory flow
  2. Breath sounds
  3. Sputum color
  4. Maximum inspiratory pressure
  a. 1 and 2 c. 1, 2, and 3
  b. 3 and 4 d. 2, 3, and 4



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

coyin

  • Sr. Member
  • ****
  • Posts: 334
Answer to Question 1

ANS: D
The patient's vital capacity of 5 mL/kg is a contraindication for the use of incentive spirometry, and coupled with the fact that he is unable to cough effectively, this makes the use of deep-breathing exercises inappropriate. The patient's respiratory weakness plus the fact that there is no mention of excessive sputum make positive expiratory pressure therapy inappropriate. In-termittent positive-pressure breathing is appropriate because of the patient's low vital capacity and inability to cough effectively.

Answer to Question 2

ANS: A
Assessment of outcomes for intermittent positive-pressure breathing include tidal volume meas-urement, FEV1, peak expiratory flows, cough assessment, chest radiograph review, and subjec-tive patient response. The color of the patient's sputum is not a determining factor in the outcome of intermittent positive-pressure breathing; it is an outcome assessment for the use of antibiotics. Maximum inspiratory pressure is not used in the determination of the effectiveness of intermit-tent positive-pressure breathing.




bucstennis@aim.com

  • Member
  • Posts: 532
Reply 2 on: Jul 16, 2018
Gracias!


JCABRERA33

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Excellent

 

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

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?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

For a complete list of videos, visit our video library