List five methods used to prevent VAP in mechanically ventilated patients.
What will be an ideal response?
1. exercise good hand hygiene
2. elevate head of bed at 30 to 45 degree angle at all times
3. change ventilator circuit when visibly soiled or malfunctioned
4. use noninvasive ventilation with face mask
5. sedation vacation for 6 to 8 hours daily
6. initiate early weaning from mechanical ventilation
7. follow sterile techniques in suctioning and prevent of contamination of endotracheal or tracheostomy tube
8. perform good oral care or decontaminate oropharynx
9. use oral feeding tube
10. endotracheal tube with an ultrathin and tapered-shape cuff membrane
11. endotracheal tube coated with silver or antimicrobial agents
12. endotracheal tube with a separate dorsal lumen above the cuff for subglottic secretion drainage
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a. Infection phase b. Inflammatory phase c. Proliferating phase d. Maturation phase
The iliopsoas muscles are palpated in the hip
Indicate whether the statement is true or false.
Which of the following are features of an ideal heat and moisture exchanger (HME)? 1. High compliance 2. Minimal dead space 3. 70% or higher efficiency 4. Minimal flow resistance
a. 1 and 3 only b. 2, 3, and 4 only c. 2 and 4 only d. 1, 2, 3, and 4
Providing necessary home care equipment and supplies and handling any emergency situations involving delivery or equipment operation is the responsibility of which member of the respirato-ry home care team?
a. Social services representative b. Respiratory care practitioner c. Nurse d. Durable medical equipment (DME) com-pany representative