× Didn't find what you were looking for? Ask a question
Top Posters
Since Sunday
w
5
a
3
j
2
a
2
t
2
u
2
r
2
j
2
j
2
l
2
d
2
y
2
New Topic  
lyss96 lyss96
wrote...
Posts: 548
Rep: 1 0
6 years ago
How does the risk for a mechanically ventilated patient to develop nosocomial pneumonia compare with a nonventilated hospitalized patient?
 
  A. 3 to 2 times higher
  B. 5 times higher
  C. 10 to 12 times higher
  D. as much as 21 times higher



Q. 2  Given the values of the following pressures:   Pleural pressure 5 cm H2O   Alveolar pressure 5 cm H2O   Atmospheric pressure 1034 cm H2O Calculate the transpulmonary pressure gradient as air is leaving the lungs during expiration.
 
  A. 5 cm H2O
  B. 0 cm H2O
  C. 5 cm H2O
  D. 10 cm H2O



Q. 3  Which of the following complications are associated with prone positioning? I. volutrauma II. airway obstruction III. selective bronchial intubation IV. skin breakdown
 
  A. III only
  B. II, III only
  C. II, III, IV only
  D. I, II, III, IV



Q. 4  Which of the following statements are true concerning prone positioning ARDS patients during mechanical ventilation?
 
  A. Patients who have ARDS from septicemia respond better than patients who have ARDS from direct lung injury.
  B. Patients who develop ARDS from direct lung injury respond better than those who get ARDS from nonlung injury.
  C. Prone positioning reduces length of ICU stay and decreases mortality associated with ARDS.
  D. Prone positioning offers improved oxygenation, but does not improve mortality.
Read 35 times
2 Replies

Related Topics

Replies
wrote...
6 years ago
(Answer to Q. 1)  ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: The rate of nosocomial pneumonia is 6 to 21 times higher in patients requiring mechanical ventilation compared with nonventilated hospitalized patients.

(Answer to Q. 2)  ANS: B
A. Incorrect response: See explanation B.
B. Correct response: Transpulmonary pressure is defined as pleural pressure minus alveolar pressure that,
Ptranspulmonary = Ppleural Palveolar
= 5 cm H2O  5 H2O
= 0 cm H2O
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.

(Answer to Q. 3)  ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: The exact rate of complications associated with proning and ARDS patients is unknown. However, increases in the incidence of selective bronchial intubation, airway obstruction, and pressure sores from the patient being placed in the prone position have been recorded.
D. Incorrect response: See explanation C.

(Answer to Q. 4)  ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: Based on early results, a number of randomized early controlled trials of prone positioning ARDS patients were undertaken. These studies consistently confirm that the prone position improves oxygenation when compared with the supine position. However, the prone position appears to offer no mortality benefit compared with supine positioning in patients with acute lung injury.
lyss96 Author
wrote...
6 years ago
Thanks a whole bunch
New Topic      
Explore
Post your homework questions and get free online help from our incredible volunteers
  1177 People Browsing
Related Images
  
 127
  
 1623
  
 384
Your Opinion
Do you believe in global warming?
Votes: 488