Bronchoscopy and Diuresis in Pneumonia Management
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Questions and Answers

How can poor pain control postoperatively contribute to atelectasis?

  • Patients develop tenacious secretions
  • Increase in FRC by 700 mL or more
  • Poor inspiratory effort and lower lobe collapse (correct)
  • Risk of bronchial plugging and lobar collapse

What is a key factor in the prevention of atelectasis?

  • Increasing tidal volumes
  • Administering antibiotics prophylactically
  • Ambulating patients early (correct)
  • Reducing fluid intake

How is the diagnosis of bronchial plugging typically made?

  • Bronchial biopsy
  • Clinical suspicion without imaging
  • Fiberoptic bronchoscopy
  • Chest X-ray alone (correct)

What is a complication associated with aspiration?

<p>Pneumonitis (C)</p> Signup and view all the answers

How is pneumonitis treated in hospitalized patients?

<p>Oxygenation with supportive care (D)</p> Signup and view all the answers

What is the mortality rate for hospitalized patients who develop aspiration pneumonitis?

<p>70% to 80% (D)</p> Signup and view all the answers

What intervention can help clear mucous plugs and secretions in patients with bronchial plugging?

<p>Fiberoptic bronchoscopy (A)</p> Signup and view all the answers

What elevation angle helps improve pulmonary outcomes for mechanically ventilated patients?

<p>&lt;45° (B)</p> Signup and view all the answers

For patients with inadequate pulmonary toilet, what are they at increased risk for?

<p>Nosocomial pneumonia (C)</p> Signup and view all the answers

What is a key measure to prevent ventilator-associated pneumonia (VAP)?

<p>Delivering adequate tidal volumes (8–10 mL/kg) (C)</p> Signup and view all the answers

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