Conditions in which patient need for home mechanical ventilation ...

[Chelseaamend]

Conditions in which patient need for home mechanical ventilation is generally limited to daytime or nocturnal support include which of the following?
 
  1. Kyphoscoliosis
  2. High spinal cord injuries
  3. Amyotrophic lateral sclerosis
  4. Myasthenia gravis
  a. 1 and 3 only
  b. 1, 3, and 4 only
  c. 2 and 4 only
  d. 2, 3, and 4 only

Question 2

All of the following indicate that a patient is stable enough to be considered for home ventilatory support except:
 
  a. pH = 7.34; PCO2 = 48; HCO3 = 27
  b. FiO2 = 35
  c. 15 cm H2O positive end expiratory pres-sure (PEEP)
  d. Absence of cardiac arrhythmias

[Cnarkel]

Answer to Question 1

ANS: B
Good candidates for home mechanical ventilation include (1) patients unable to maintain ade-quate ventilation over prolonged periods (noninvasive nocturnal or intermittent use in particular), (2) patients requiring continuous mechanical ventilation for long-term survival, and (3) patients who are terminally ill with short life expectancies. Table 56-5 provides more detailed profiles of these patient groups.

Answer to Question 2

ANS: C
Good candidates for home mechanical ventilation include (1) patients unable to maintain ade-quate ventilation over prolonged periods (noninvasive nocturnal or intermittent use in particular), (2) patients requiring continuous mechanical ventilation for long-term survival, and (3) patients who are terminally ill with short life expectancies. Table 56-5 provides more detailed profiles of these patient groups.