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

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

Health Professions

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If the patient has a tension pneumothorax, all of the following chest radiograph findings would be expected EXCEPT:

a. elevated diaphragm. b. mediastinal shift to the unaffected side. c. increased translucency on the side of the pneumothorax. d. atelectasis.

Health Professions

Which medications have been identified to present a low risk to someone who uses them, as long as the medication is used as directed on the label?

A) Controlled substances B) Over-the-counter (OTC) substances C) Regulated substances D) Narcotic substances

Health Professions