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Author Question: For which of the following types of patients is a conventional surgical tracheostomy better suited ... (Read 59 times)

dejastew

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For which of the following types of patients is a conventional surgical tracheostomy better suited than a percutaneous dilatational tracheostomy? I. patients with high Vd/Vt ratios II. COPD III. obesity IV patients with deviant anatomy
 
  A. III, IV only
  B. I, II, III only
  C. I, II, IV only
  D. II, III, IV only

Question 2

How can the therapist help reduce the risk for developing PMV among patients in an ICU?
 
  A. Progressively increase respiratory muscle loading.
  B. Work to prevent ventilator-associated pneumonia.
  C. Use APRV at the earliest opportunity.
  D. Recommend early intervention with systemic corticosteroids.



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patma1981

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Answer to Question 1

ANS: A
A. Correct response: Patients who have deviant anatomy or who are obese are better suited for conventional surgical tracheostomies.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A

Answer to Question 2

ANS: B
A. Incorrect response: See explanation B.
B. Correct response: The prevention of ICU-associated complications is known to decrease the duration of mechanical ventilation, especially prevention of ventilator-associated pneumonia and catheter-associated blood stream infection. Handwashing, barrier protocols and checklists, and sterile maintenance of ventilator components and tubing are simple measures that can have a significant impact on ventilator days in an ICU.
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.





 

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