Test 3. Ch.21,

Question 1

Most pts receiving MV require vent support for less than

Answer 1

7 days

Question 2

Approximately __% of those pts requiring more than 7 days cannot be successfully weaned and require……

Answer 2

5%;
Long- term mechanical ventilation (LTMV)

Question 3

Long-term ventilator-assisted pts are defined by the American College of Chest Physicians (ACCP) as individuals require

Answer 3

MV for at least 6 hours for 21 days or more

Question 4

Pts requiring LTMV can be divided into 2 groups:

Answer 4

• Those recovering from an acute illness and unable to maintain adequate ventilation for prolonged periods (COVID, PNA, heart attack)
• Those with chronic progressive cardiopulmonary disorders (ALS)

Question 5

The overall goal of LTMV at home or alternative care sites is to improve the the pt’s quality of life by providing the following environmental attributes:

Answer 5

1. Enhancing the individual’s living potential
2. Improving physical and physiological levels of function
3. Reduce morbidity
4. Lessening hospitalizations
5. Extending life
6. Providing cost-effective care

Question 6

What are the 3 sites for Vent dependent pts?

Answer 6

1. Acute care
2. Intermediate care
3. Long-Term care

Question 7

Acute Care Sites include

Answer 7

• ICU
• Specialized respiratory care units
• General Med- Surg care units
• Long-term acute care hospitals

Question 8

ICUs provide

Answer 8

invasive monitoring, extensive care, and a higher ratio of practitioners to pts. (are more expensive)

Question 9

Specialized respiratory care units have fewer resources and generally designed for

Answer 9

more stable VAIs.
Designated units may be called: pulmonary specialty wards and chronic assisted ventilator care units

Question 10

These are typically located on general pt floors of the hospital. Nurses often require training to manage these VAIs

Answer 10

General Med-surg care units

Question 11

These are designed to care for pts who require extensive monitoring and care such as daily Drs visits, continuous monitoring, IV therapy, wound car, and isolation

Answer 11

Long-term acute care hospital

Question 12

Intermediate care sites include

Answer 12

• subacute care units
• long-term care hospitals
• rehabilitation hospitals

Question 13

Long-term care hospitals are designed to provide care for

Answer 13

long-term invasive vent-dependent pts (i.e., length of stay usually exceeds 25 days)

Question 14

Long-term care sites includ

Answer 14

• SNF
• congregate livening centers
• single-family homes

Question 15

These sites do not have the resources to treat acutely ill pts

Answer 15

long-term care sites

Question 16

Pt selection is the key to success for any Long-term care ventilation program can be grouped into 3 areas, what are they?

Answer 16

1. Disease process and clinical stability
2. Psychological evaluation of the pt and fmaily
3. Financial considerations