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Minding Gaps in Safe Patient Transport - RT and EMS Joint Task Force Series: Humidification Principles and Transport Guidelines

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1.  Consequences of inadequate humidification may lead to:
  1. Thicker and dehydrated secretions
  2. Normal breathing patterns
  3. Normal lung function
  4. Effective cough production
2.  The use of heated moisture exchangers is contraindicated in patients who have:
  1. Cuffless trachs
  2. When expired tidal volume (VT) is less than 70% of delivered
  3. Thick, copious secretions or hemoptysis
  4. All of the above
3.  The following is an advantage when using active humidification:
  1. Bulky
  2. Require power
  3. Expensive
  4. Appropriate for long term invasive or non-invasive ventilation
4.  When a patient is discharged from the facility with a tracheostomy or advanced airway, the respiratory therapist may help to ensure:
  1. Identification of the appropriate device
  2. Checking resources available for transport
  3. Trialing the HME before to transport for tolerance
  4. All of the above
5.  Respiratory therapists may help prevent tube dislodgement during transport by:
  1. Confirming centimeter depth and tube security
  2. Suctioning as needed
  3. Communicating oxygen supply needs
  4. Monitoring work of breathing