A home care patient using NIV complains that when she puts on the NIV mask at night and turns on the machine, "at first the gas feels like it is punching her in the face." The patient is noncompliant with the NIV because of this

What action should the respiratory therapist take?
a. Decrease the IPAP.
b. Increase the EPAP.
c. Decrease the flow trigger.
d. Set the ramp and delay time.


ANS: D
The PTV allows for adjustment of the ramp and delay time to enhance patient comfort. Ramp allows positive pressure to increase gradually over a set interval or delay time.

Health Professions

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