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guccigangcuggu guccigangcuggu
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Posts: 548
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6 years ago
CMS regulations require that prescriptions for home O2 therapy be based on:
 
  a. documented hypoxemia.
  b. documented symptoms.
  c. written diagnosis.
  d. presence of cyanosis.



Q. 2  To determine if a home setting can support the equipment needs of a mechanically ventilated pa-tient being considered for discharge, which of the following would you assess?
 
  1. Available space for equipment
  2. Amperage of power supply
  3. Number and location of grounded outlets
  4. Presence of hazardous appliances
  a. 2 and 4 only
  b. 1, 2, 3, and 4
  c. 3 and 4 only
  d. 1, 2, and 3 only



Q. 3  What is the most common respiratory home care modality?
 
  a. Aerosol therapy
  b. Mechanical ventilation
  c. O2 therapy
  d. Nasal continuous positive airway pressure (CPAP)



Q. 4  Which of the following are acceptable indicators of hypoxemia for purposes of justifying home O2 therapy? 1. Resting PaO2 of 55 mm Hg (room air) 2. Drop in SaO2 below 89 during ambulation 3. Resting arterial SaO2 below 88 (room air)
 
  a. 1 and 2 only
  b. 2 and 3 only
  c. 1 and 3 only
  d. 1, 2, and 3
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6 years ago
(Answer to Q. 1)  ANS: A
As indicated in the practice guideline, O2 prescriptions must be based on documented hypox-emia, as determined by either blood gas analysis or oximetry.

(Answer to Q. 2)  ANS: B
Box 56-1 lists some key factors one should assess in planning the discharge of a respiratory care patient to the home environment.

(Answer to Q. 3)  ANS: C
Oxygen therapy is by far the most common mode of respiratory care in postacute care settings.

(Answer to Q. 4)  ANS: D
To guide practitioners in providing quality care, the AARC has published a Clinical Practice Guideline on Oxygen Therapy in the Home or Extended Care Facility. Excerpts appear on p. 1291.
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