What is the role of NPPV in cystic fibrosis patients?
A. NPPV has no role in the treatment of cystic fibrosis.
B. It reduces the need for intubation when these patients have pneumonia.
C. NPPV is used in lung transplantation candidates who deteriorate before surgery.
D. NPPV facilitates the removal of tracheobronchial secretions in these patients.
ANS: C (page 369)
Cognitive Level: Recall
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: NPPV has been used mainly as a bridge to transplantation for patients with cystic fibrosis who deteriorate. These patients may remain severely hypercapnic and require aggressive management of secretion removal. However, NPPV enables avoidance of intubation.
D. Incorrect response: See explanation C
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