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A 45-Year-Old Man Who Weighs 166 Lbs (75

Question 9

Multiple Choice

A 45-year-old man who weighs 166 lbs (75.5 kg) and has myasthenia gravis is beginning to develop progressive weakness of the muscles. The respiratory care practitioner has been monitoring MIP and VC every 4 hours. The most recent results show that the patient continues to deteriorate despite treatment with anticholinesterase drugs: MIP = −35 cm H2O, VC = 23 mL/kg. Which of the following would be appropriate to recommend?


A) Incentive spirometry to improve muscle strength
B) Oxygen therapy
C) Mechanical ventilatory support
D) Administer a neuromuscular blocking agent

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