A patient being transferred from a hospital to a skilled nursing facility requires mechanical venti-lation with a fractional inspired oxygen (FIO2) of 0.21. The skilled nursing facility has no piped in gases
Which of the following ventilators will be able to function in the skilled nursing facility without any extra equipment?
a. Servoi
b. LTV 1000
c. Bird Mark 7
d. Bio-Med MVP-10
ANS: B
The type of ventilator that will be appropriate for this situation is one that is electrically con-trolled and powered with a built-in air compressor. The LTV 1000 fits this description. The Ser-voi requires both a high-pressure gas source and electrical power. The Bird Mark 7 is a pneumatic ventilator and will not be able to function in this situation. The Bio-Med MVP-10 is also a pneu-matic ventilator that won't function in this situation.
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You are seeing a 69-year-old female patient complaining of fatigue and nausea. She has a history of heart failure and two previous myocardial infarctions. She reports having blurred vision with halos around objects. Her blood pressure is 144/88 mmHg, her pulse is 110 and irregular, and her ventilations are 16. What should you suspect is causing her symptoms?
A) Impaired cerebral perfusion secondary to heart failure B) Acute closed-angle glaucoma C) Toxic blood levels of digoxin D) Cerebral embolus secondary to atrial fibrillation
Anything that interferes with ventilation to a lung or anything that interferes with distribution of blood through the pulmonary circulation result in what is called:
A) ventilation-respiration (VP) mismatch. B) ventilation-alveolar (VA) mismatch. C) ventilation-oxygenation (VO) mismatch. D) ventilation-perfusion (VQ) mismatch.
A skin substitute used to close the skin temporarily is called ____ dermal replacement.?
A)?autograft B)?acellular C)?synthetic D)?topical
Time can be used to determine an E/M code when:
A. more than 50 percent of the total time is spent counseling the patient. B. more than 30 percent of the total time is spent counseling the patient. C. more than 25 percent of the total time is spent counseling the patient. D. more than 20 percent of the total time is spent counseling the patient.