« previous next »

Author Question: A neonatal patient has unsuccessfully undergone the subsequent therapeutic interventions: (1) ... (Read 21 times)

penza

  • Hero Member
  • *****
  • Posts: 1,022
on: Jul 16, 2018
A neonatal patient has unsuccessfully undergone the subsequent therapeutic interventions: (1) surfactant replacement therapy, (2) inhaled nitric oxide, and (3) lung protective ventilation often with permissive hypercapnia. Which of the following forms of therapy should the therapist recommend at this time?
 
  A. extracorporeal life support
  B. high-frequency ventilation
  C. venovenous bypass
  D. intravascular oxygenation

Question 2

The therapist is caring for a neonate who has a persistent significant air leak, an oxygenation index of 50, and a P(A-a)Do2 greater than 550 for the last 5 hours. What therapeutic intervention should the therapist recommend at this time?
 
  A. extracorporeal life support
  B. intravascular oxygenation
  C. surfactant replacement
  D. high-frequency ventilation


mrphibs

  • Sr. Member
  • ****
  • Posts: 307
Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: B
A. Incorrect response: See explanation B.
B. Correct response: For all age groups, ECLS usually is considered after failure of other available therapies such as surfactant replacement, high-frequency ventilation, inhaled nitric oxide, and lung protective ventilation strategies often with permissive hypercapnia.
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.

Answer to Question 2

ANS: A
A. Correct response: Generally, a neonate who has a persistent significant air leak, an oxygenation index (OI) greater than 40, and an alveolar-arterial O2 difference (i.e., P(A-a)Do2) greater than 500 for 4 or more hours meets ECLS criteria.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

In 2010, opiate painkllers, such as morphine, OxyContin®, and Vicodin®, were tied to almost 60% of drug overdose deaths.

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Assessing Palpebral Conjunctiva, Patient Position Assessing Palpebral Conjunctiva, Patient Position
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
Grief Responses and Patient Verbalization Grief Responses and Patient Verbalization
Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum. Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum.
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1)
Video: Photosynthesis overview Animation

For a complete list of videos, visit our video library