A written report should be completed monthly during the follow-up ...

[vHAUNG6011]

A written report should be completed monthly during the follow-up and evaluation of patients receiving home MV. Which of the following conditions should this monthly report include?
 
  1. ABG analysis
  2. Patient and family comprehension of equipment and procedures
  3. Proper functioning of the equipment
  4. Compliance with the plan of care
 
  a. 2, 3, and 4 only
  b. 1, 2, and 3 only
  c. 1, 2, and 4 only
  d. 1, 2, 3, and 4

Question 2

The primary goals of mechanical ventilatory support in newborns and pediatric patients include all of the following except ___________________ _.
 
  a. improving lung compliance
  b. eliminating airway resistance
  c. achieving adequate lung volume
  d. limiting lung injury

[allisonblackmore]

Answer to Question 1

ANS: A
A written report is completed after the monthly visit, and copies are sent to the patient's physi-cian, homecare agency, and other members of the health care team. This report might include the following:
 Identification of company, servicing location, date, and time
 Patient name, address, phone, and e-mail
 Patient diagnosis
 Physician and phone number
 Prescribed equipment and procedures
 Assessment (vital signs, breath sounds, sputum evaluation, oxygen saturation (SpO2), ventilator parameter and alarm settings, functioning of ancillary equipment)
 Caregiver and patient (if possible) comprehension of equipment and procedures
 Compliance with plan of care
 Recommendations of DME company representative

Answer to Question 2

ANS: B
The goals of mechanical ventilatory support in newborns and pediatric patients are to (a) provide adequate ventilation and oxygenation, (b) achieve adequate lung volume, (c) improve lung com-pliance, (d) reduce WOB, and (e) limit lung injury. If airway resistance is a problem, it needs to be addressed; however, eliminating it is not a goal of mechanical ventilatory support.

[vHAUNG6011]

Excellent

[okolip]

TYSM