RCP

Allows a gradual rise in CO2 as a lung protection strategy correct answer: Permissive hypercapnia -Patient compliance/resistance --> high resistance reduces speed -Rise time effects speed of how fast inspiratory is -Patient actively breathing *rise time, patient effort, patient compliance and resistance, inspiratory time, flow pattern correct answer: facts that can affect speed by which inspiratory pressure rises to the set pressure value appropriate sized mask correct answer...

What power sources are used to provide ventilation to a patient? correct answer: (1) Pneumatically powered ventilators use compressed gas (2) Electrically powered utilizing 120 V 60 Hz alternating current (AC) or 12 V direct current (DC) for power source. (3) Both pneumatic and electric What are 3 types of breaths that can be delivered by mechanical ventilation? correct answer: (1) Continous mandatory (2) Intermittent mandatory (3) Continuous spontaneous Describe how each of the follo...

Mechanical Ventilation correct answer: Mechanical ventilation entails the use of sophisticated life-support technology aimed at maintaining tissue oxygenation and removal of carbon dioxide (CO2) - Supports or replaces normal ventilatory pump - Moves air in and out of lungs, or "ventilates" - Provides sophisticated life support Changing Ventilation and PaCO2 correct answer: Partial Support with SIMV correct answer: Box 48-17 Pg. 1106 Effect of change in VA on PaCO2 correct answe...

neuromuscular disease correct answer: Neuromuscular diseases are that group of conditions which affect the strength and ability of muscles to function Maintenance of normal ventilation depends on intact, functional components of the neuromuscular system Regulation of respiratory drive and rateControl of the mechanics of ventilation Cough and other airway protection Consequences of neuromuscular disease correct answer: Disregulation of respiratory drive or rate• Hyperventilation•H...

Which of the following would decrease chest wall compliance? correct answer: kyphoscoliosis, obesity, plueral effusion If PEEP levels are set too high, which of the following may occur? correct answer: static lung compliance will decrease, barotrauma is more likely, urinary output may decrease A drug overdose who needs to be placed on a mech. ventilation is 5'10" and weighs 170 lbs. What VT would you use? correct answer: 900 ml Which of the following would occur during pos. pressur...

PT ASSESSMENT correct answer: LOOK AT PT WOB, RR, HR, ETCO2, WAVEFORMS AND AUSCULTATE 6 PLACES FRONT AND BACK INTUBATION INDICATIONS correct answer: 1. AIRWAY PROTECTION >> DRUG OVERDOSE, EDEMA, EPIGLOTTITIS, MARKED STRIDOR 2. INABILITY TO MAINTAIN PATENT AIRWAY 3. IMPENDING OR ACTUAL RESPIRATORY FAILURE 4. EMERGENCY MEDICATION ADMINISTRATION ETT SIZE correct answer: WOMEN 6.5-7.5 MEN 7.5-8.5 SUCTION CATHETER= (ETT SIZE X 3) / 2 MECHANICAL VENTILATION INDICATIONS correct...

PIP 42 PPLAT 27 Vt 500 PEEP 6 what is the static lung compliance? A. 18 B. 24 C. 31 D. 37 correct answer: VT / PLAT - PEEP 500 / 27 - 5 = 23.8 -> 24 24 A patient is receiving volume controlled ventilation in assist-control ventilation mode (A/C), an the I:E ratio alarm is sounding. Which control adjustment would correct this problem? A. Decrease flow rate B. Increase the Vt C. Increase the respiratory rate D. Increase the flow rate correct answer: Increase the flow ra...

gold standard for assessing ett placement correct answer: chest x-ray proper placement for ett placement for babies correct answer: t1 to t3 how can you remove air from the stomach? correct answer: ng tube steeple sign correct answer: croup thumb sign correct answer: epiglottis prefered site for a blood gas? correct answer: radial emergency site for a blood gas? correct answer: radial first! if not then femoral what does NOT determine accurate oxygenation but will det...

The preferred site for arterial blood sampling in a pediatric patient is the ________, the _______ is reserved for emergencies only. correct answer: Radial, Femoral Which of the following parameters of the Apgar score provides the most important prognostic value? correct answer: Heart rate What is the purpose of the substance secreted by the type II pneumocyte? correct answer: To reduce surface tension The appropriate size ETT for a 29 week gestational age neonate is: correct answer:...

Sleep related breathing disorders include: correct answer: - Obstructive Sleep Apnea (OSA) Syndrome - Central Sleep Apnea Syndrome - Mixed Sleep Apnea - Sleep-related Hypoventilation and Hypoxemia Syndromes Obstructive Sleep Apnea (OSA) correct answer: Repetitive pharyngeal collapse during sleep, which leads to absence of breathing; can produce daytime drowsiness and elevated blood pressure Clinical Features of OSA correct answer: - Obstructive apneas - Hypopneas - Respiratory Effo...