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Author Question: Which of the following treatments would provide sufficient humidity to a conscious patient with a ... (Read 31 times)

wrbasek0

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on: Jul 16, 2018
Which of the following treatments would provide sufficient humidity to a conscious patient with a core temperature less than 36 C who had nearly drowned?
 
  a. Heat and moisture exchanger c. Heated aerosol with humidifier
  b. Heated aerosol or humidifier d. Systemic hydration

Question 2

Which of the following devices or methods would be appropriate to provide sufficient humidity for an intubated patient with an uncuffed endotracheal tube who has thick, bloody secretions?
 
  a. Heat and moisture exchanger
  b. Heated humidifier
  c. Heated humidifier with a heat and mois-ture exchanger
  d. Systemic hydration


xiaomengxian

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Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: B
Because the patient is hypothermic, a heated aerosol or heated humidifier needs to be used. Hy-pothermia is a contraindication for the use of a heat and moisture exchanger. Heated aerosol generators are not used in conjunction with humidifiers, and systemic hydration will not help warm the patient's core temperature.

Answer to Question 2

ANS: B
According to the algorithm for selecting the correct humidity and bland aerosol therapy, a heated humidifier is appropriate for this patient. Both the use of an uncuffed endotracheal tube and the presence of thick, bloody secretions are contraindications for the use of a heat and moisture ex-changer. Heat and moisture exchangers cannot be used with heated humidification. Systemic hydration does not adequately humidify inhaled gas.


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