Which of the following would be routinely ordered for the ...

[bobbie]

Which of the following would be routinely ordered for the majority of wet-drowning victims?
 
  1. Positive end-expiratory pressure (PEEP)
  2. Hemodialysis
  3. Extracorporeal membrane oxygenation (ECMO)
  4. Mechanical ventilation
  a. 1, 4
  b. 3, 4
  c. 1, 2, 4
  d. 1, 2, 3, 4

Question 2

If mechanical ventilation is needed to support a neonate with MAS, which of the following settings is especially important?
 
  a. High positive end-expiratory pressure (PEEP) level
  b. Long exhalation time
  c. High humidity level
  d. Give no more than 50 oxygen

[wilsonbho]

Answer to Question 1

A
Because of the lung changes that occur when water is inhaled, mechanical ventilation with PEEP will be needed by most patients.

Answer to Question 2

B
Because of the risk of incomplete exhalation with MAS, the infant receiving mechanical ventilation must have a long exhalation time. It is important to confirm that there is complete exhalation of the delivered tidal volume. PEEP is not usually needed with the MAS patient. All patients receiving mechanical ventilation should be given a fully humidified tidal volume. Follow the oxygen therapy protocol to guide delivery of the necessary oxygen percentage. More than 50 oxygen may be needed until the infant's airways are open.

[bobbie]

Excellent

[mjenn52]

TYSM