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Comprehensive solutions to various questions related to mechanical ventilation, including types of ventilators, ventilation modes, pressure and volume calculations, and contraindications for noninvasive ventilation. It is a valuable resource for respiratory therapists, medical students, and anyone interested in understanding mechanical ventilation.
Typology: Exams
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Which type of ventilator mimics the normal mechanism of ventilation? - ANSWER: โโ negative pressure ventilation The control panel where the respiratory therapist makes adjustments to the ventilator is also known as the - ANSWER: โโ user interface The gas conducting tubes that carry gas from the ventilator to the patient are referred to as the - ANSWER: โโ patient circuit Pneumatic ventilators are powered by - ANSWER: โโ a 50 psi gas source A ventilator system that simply delivers a set volume but cannot measure or change the volume actually delivered to the patient is called a(n) _______________ system - ANSWER: โโ open loop A patient who is paralyzed from the neck down is likely to have which breath sequence during mechanical ventilation? - ANSWER: โโ CMV In the equation Pmus+Pvent = (E x V) + (R x V) + Auto - PEEP, what does Pmus represent? - ANSWER: โโ The pressure from the muscles to expand the thoracic cage and lungs The equation Pmus + Pvent = (E + V) + (R x V) + Auto - PEEP is known as - ANSWER: โโ Equation of motion A respiratory therapist has chosen a mode of ventilation where mandatory breaths are delivered at a set rate, and the spontaneous breaths are pressure-supported. This mode of ventilation is called - ANSWER: โโ Synchronized Intermittent Mandatory Ventilation (SIMV)
Another term for assist/control ventilation is - ANSWER: โโ Continuous mandatory ventilation If the respiratory therapist is using volume controlled, which of the following will change if there is a change in resistance or compliance? - ANSWER: โโ Pressure The patient's medical team wants to maintain a constant tidal volume in the patient with acute head injury. Which of the following types of mechanical ventilation should be used? - ANSWER: โโ Volume control ventilation When using mechanical ventilation, a tidal volume should be chosen that maintains plateau pressure (Pplat) below which level, assuming a near-normal chest compliance? - ANSWER: โโ 30 cmH Which of the following causes auto-PEEP? - ANSWER: โโ High minute ventilation Which of the following are contraindications for noninvasive ventilation? - ANSWER: โโ Respiratory Arrest Facial Surgery Which of the following initial responses to noninvasive ventilation are indicative of a successful outcome for the patient? - ANSWER: โโ A decrease in PaCO Higher baseline pH The highest pressure recorded during inspiration on the ventilator is called the - ANSWER: โโ Peak Inspiratory Pressure (PIP) The pressure difference between the airway opening and the alveolus is the - ANSWER: โโ transairway pressure The normal compliance of a spontaneous breathing patient is - ANSWER: โโ 50 to 170 ml/cmH2O What is the normal airway resistance for an intubated patient? - ANSWER: โโ 6 cmH20/(L/s)
Calculate the static compliance, when the PIP is 47 cmH20, plateau pressure is 27 cmH20, PEEP is 10 cmH20 and exhaled tidal volume is 725 ml - ANSWER: โโ 43 ml/cmH Calculate airway resistance for a ventilator patient with the following information: PIP 20 cmH20, Plat 15 cmH20, PEEP 5 cmH20, set flow rate 50 L/min - ANSWER: โโ 6 cmH20 L/sec The pressure required to maintain alveolar inflation is known as which of the following - ANSWER: โโ transpulmonary pressure Which of the following will increase the expiratory time for a patient who is not triggering the ventilator in A/C VCV? - ANSWER: โโ increase peak flow Plateau pressure may be obtained on a volume ventilator by using a(n) - ANSWER: โโ inspiratory pause An increase in PIP without an increase in Pplateau is associated with what change? - ANSWER: โโ increase in airway resistance If a patient has a VT of 450 mL and her RR is 15 bpm, what is her minute ventilation? - ANSWER: โโ 6.75 L/min Which of the following choices represents the normal and critical value, respectively, for maximum inspiratory pressure (MIP) expressed in cmH20? - ANSWER: โโ -100 to -50 and -20 to 0