Myopathy Ventilatory Support Indications for Patients

Are you evaluating a patient with a myopathy affecting the respiratory muscles?

Yes

Does the patient have ...

• recurrent nightmares?

Yes

• morning headache?

Yes

• daytime drowsiness?

Yes

• generalized fatigue?

Yes

• dyspnea at rest?

Yes

• orthopnea?

Yes

• paradoxical breathing pattern?

Yes

• hypercapnea on blood gas analysis?

Yes

Vital capacity

liters

Predicted vital capacity for age and gender

liters

Maximal inspiratory pressure

cm H2O

Maximal inspiratory pressure predicted for age and gender

cm H2O

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of clinical signs and symptoms of hypoxemia

Number of abnormal pulmonary function tests

Is the patient a candidate for ventilatory support?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
- CROP Index
Other Testing
Criteria For Diagnosis
- Models for Prediction of Ventilator Weaning and Survival in COPD Patients
Severity, Prognosis, Stage
Complications

Therapy

Options
- Models for Prediction of Ventilator Weaning and Survival in COPD Patients
Selection
Dosage Adjustments
- Adjusting Ventilator Rate to Achieve a Desired PaCO2
Failure Handling And Therapy Escalation
- Prediction Rule of Mokhlesi et al for Extubation Failure Following a Successful Spontaneous Breathing Trial

Monitoring

Compliance/adherence
- Ventilator Score of Morganroth et al
Complication Detection
- Prediction Rule of Mokhlesi et al for Extubation Failure Following a Successful Spontaneous Breathing Trial

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Indications for Ventilatory Support in Patient with a Myopathy

Purpose: To identify a patient with myopathy who may require ventilatory support.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10