A patient suffering from postoperative complications has been receiving mechanical ventilation for 6 days with a volume ventilator
A heat-moisture exchanger (HME) is providing control over humidification and airway tempera-ture. Over the past 24 hr, the patient's secretions have decreased in quantity but are thicker and more purulent. Which of the following actions would you suggest at this time?
a. Replace the HME.
b. Switch over to a heated wick humidifier.
c. Administer acetylcysteine every 2 hr via the nebulizer.
d. Increase the frequency of suctioning.
ANS: B
We prefer an optimal humidity approach and use of a heated humidifier to deliver gas in the range of 35° to 37° C at the airway.
You might also like to view...
You are called to assist a patient who has splashed a chemical in his eye. You should:
A) apply a patch to the eye. B) flush the eyes with water for 10 minutes. C) flush the eyes with water for 15 minutes. D) flush the eyes with water for 20 minutes.
You have been called to a residence by the parents of a 14-year-old boy, whom they found sniffing paint fumes in an effort to get high. The patient is agitated, coughing, and complaining of dizziness and shortness of breath. His airway is patent, respirations adequate, and radial pulse easily palpable. Closer assessment of the patient reveals paint around his mouth and breath sounds that are
clear and equal. Heart rate = 96, respirations = 20, blood pressure = 116/78, and SaO2 = 96%. Oxygen via a nonrebreather has been applied and an IV established. Which of the following is the most important in the assessment and care of this patient? A) Benzodiazepines B) Antipyretics C) Cardiac monitoring D) Albuterol administration
Who was the first to develop the concept of "worst first"?
A. Baron Dominique Jean Larrey B. U.S. Department of Defense C. John Wilson D. U.S. Department of Navy
Using an ICD-9-CM code book, select the appropriate code(s) for the diagnostic statements given in the following questions
Complete unilateral cleft lip and cleft palate