Author Question: According to the authors' experiences, which mode of mechanical ventilation has met the needs of ... (Read 27 times)

rayancarla1 · **on:** Jul 16, 2018

According to the authors' experiences, which mode of mechanical ventilation has met the needs of their patients with neuromuscular disease?

A. APRV
B. PRVC
C. PC-IRV
D. NPPV

Question 2

Why should a patient with Guillain-Barr syndrome not be administered succinylcholine before endotracheal intubation?

A. The patient may begin to hypoventilate.
B. The patient may develop hyperkalemia.
C. Further respiratory muscle weakness may be induced.
D. Hypotension may develop as a result.

Cheesycrackers · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: A
A. Correct response: SIMV was the preferred mode in many reports in the older literature. Larger tidal volumes (10 to 15 ml/kg) have traditionally been used to maintain patient comfort, and may be acceptable as long as plateau pressure remains below 30 cm H2O. APRV has shown to be effective in providing patient comfort and preventing atelectasis and pneumonia in this patient population.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation

Answer to Question 2

ANS: B
A. Incorrect response: See explanation B.
B. Correct response: Care must be exercised during endotracheal intubation because these patients are prone to autonomic dysfunction, which can result in hypotension or bradycardia with induction anesthetic agents. Furthermore, the use of succinylcholine or other depolarizing muscular blockers should be avoided because of the risk of hyperkalemia.
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.