What is the single best contraindication for non-invasive positive ventilation (NPPV) in a patient with COPD exacerbation?
سؤال مجاني 5 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Impaired level of consciousness
Impaired level of consciousness is the key contraindication to NIPPV: the patient must be conscious and alert. A high respiratory rate, pH 7.30 with pCO2 50 and severe dyspnea are all indications for NIPPV in an AECOPD.
ليش كل خيار صح أو غلط
-
A
ليش صح
Non-invasive ventilation requires a patient who is conscious and alert; impaired level of consciousness points to invasive ventilation instead.
✓ Asthma and COPD.pdf · p. 9 -
C
ليش غلط
Respiratory acidosis (pH ≤ 7.35 with PaCO2 ≥ 45) is an indication for NIPPV, not a contraindication; pH 7.30 with PaCO2 50 meets it.
✓ COPD.pdf · p. 11 -
D
ليش غلط
Severe dyspnea with increased work of breathing is an indication for NIPPV, not a contraindication.
✓ COPD.pdf · p. 12
- المصدر
- Asthma and COPD.pdf · p. 9
COPD.pdf · p. 11 - المحاضرة
- COPD Exacerbation · Pulmonology · Module B
- ظهر في
- Respi bank