Exam 21: Long-Term Ventilation

A VAI with amyotrophic lateral sclerosis and a TT is unable to develop clear secretions from his airway.Which of the following should be considered to manage this patient's airway clearance problem? 1)Manual chest compression and TT suctioning 2)Autogenic drainage and postural drainage 3)Positive expiratory pressure 4)Mechanical insufflation-exsufflation (MI-E)

Which of the following is an essential step the respiratory therapist must perform when setting up a speaking valve for a ventilator-assisted individual?

A VAI patient with a TT is having a trial of cuff deflation to allow for speech.The patient's voice is "weak," and he can speak only two or three words with each exhalation.The respiratory therapist could adjust which ventilator settings to improve the patient's speech? 1)Expiratory time 2)Inspiratory time 3)Volume 4)PEEP

In-hospital evaluation of ventilator-assisted infants should be performed how often for the first 2 years of life?

A patient with muscular dystrophy currently receiving ventilatory support with VC-IMV is being prepared for discharge home.The case manager asks the respiratory therapist to recommend a ventilator that will meet the patient's needs with the least complexity and at the lowest cost.The respiratory therapist should recommend which of the following ventilators?

Follow-up assessment of a patient who is home ventilated on a regular service schedule generally includes which of the following? 1)Vital signs 2)Arterial blood gas (ABG)evaluation 3)Oxygen saturation measured by pulse oximeter (SₚO₂) 4)Portable chest radiograph

The most important factors to consider when choosing a ventilator for home use include which of the following? 1)Sophistication 2)Reliability 3)Versatility 4)Cost

What is the minimum pressure required to vibrate the vocal cords and produce a quality voice?

The preferred location for ventilator-dependent patients is ________________________.