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701 Week 6 - Ventilators, Waveforms, & Loops Flashcards | StudBud
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701 Week 6 - Ventilators, Waveforms, & Loops
701 Week 6 - Ventilators, Waveforms, & Loops
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1
Which mode of ventilation allows spontaneous breathing by the patient while providing a backup respiratory rate?
Volume Control (VC)
Pressure Support (PS)
Synchronized Intermittent Mandatory Ventilation (SIMV)
Airway Pressure Release Ventilation (APRV)
2
Your patient is in the trendelenburg position. You notice that the PEEP is set at 0 cm H2O. Increasing the PEEP would:
Decrease oxygenation due to decreased venous return
Have no effect on the patient's oxygenation or ventilation
Improve oxygenation by preventing atelectasis
Cause intraocular trauma
3
During a surgical procedure, the low-pressure alarm on the ventilator is triggered. What should you do first?
Increase the inspiratory pressure
Increase the respiratory rate
Check for disconnections in the patient circuit
Decrease the tidal volume
4
During a procedure, the high-pressure alarm on the anesthesia ventilator activates. This alarm most likely indicates:
excessive airway pressure, potentially d/t patient coughing or bronchospasm
patient's spontaneous breathing efforts have increased
disconnection or leak in the breathing circuit
APL (adjustable pressure-limiting) valve is fully open
5
Which mode allows you to set a backup rate, pressure support, and ability for patient to initiate spontaneous breaths?
Pressure Control
Volume Control
Synchronized Intermittent Mandatory Ventilation
Airway Pressure Release Ventilation
6
When managing a patient with COPD, which ventilator setting adjustment is most beneficial?
Lengthening the expiratory time to prevent air trapping
Decreasing the respiratory rate to minimize oxygen consumption
Reducing the PEEP to decrease intrathoracic pressure
Increasing tidal volume to improve alveolar ventilation
7
What type of alarm detects disconnect or loose connections in an anesthesia ventilator?
Medium priority alarm
High priority alarm
High pressure limiting alarm
Low pressure alarm
8
In a scenario where your machine doesn't have FGF decoupling, and your TV appears to be delivering more. What do you do?
Increase the inspiratory time
Increase the respiratory rate
Decrease the I:E ratio
Reduce the fresh gas flow rate
9
A flow volume loop shows a reduced maximal inspiratory and expiratory flow across all lung volumes, with a low TLC. Why?
pulmonary fibrosis or another restrictive lung disease
normal aging of the respiratory system
variable extrathoracic airway obstruction
fixed airway obstruction
10
You notice the anesthesia machine uses descending bellows. What is a potential drawback of this design?
Easier to detect disconnects
More precise control over tidal volumes
Increases the risk of entraining room air and difficulty in detecting leaks
Requires constant electrical power to operate
11
You are using a ventilator without FGF decoupling & increase the FGF to manage a rising CO2 level. What will occur?
Have no effect on the tidal volume delivered to the patient
Decrease the patient's carbon dioxide level without affecting tidal volume
Increase the tidal volume delivered to the patient
Decrease the tidal volume delivered to the patient
12
What is the significance of the Peak Inspiratory Pressure (PIP) in mechanical ventilation?
used to assess airway resistance
indicates the end of inspiration
lowest pressure during the ventilatory cycle
measures static compliance
13
You observe an increase in peak airway pressure during a case. Which adjustment is least likely to be beneficial?
Reducing the tidal volume to decrease the peak airway pressure
Administering a bronchodilator if bronchospasm is suspected
Checking for and resolving any kinks in the breathing circuit
Increasing the rate of fresh gas flow to the patient
14
The vent has an I:E ratio of 1:1. What does this mean?
40 seconds in inspiratory phase, 20 seconds in expiratory phase
30 seconds in inspiratory phase, 30 seconds in expiratory phase
10 seconds in inspiratory phase, 50 seconds in expiratory phase
20 seconds in inspiratory phase, 40 seconds in expiratory phase
15
You observe a significant right shift in the flow-volume loop during the thoracic surgery. This is most likely due to:
A leak in the anesthesia circuit
Left-sided pneumothorax
Pulmonary embolism in the left lung
Right mainstem bronchus intubation
16
On a pressure-volume loop, you notice a significant shift towards higher pressures without an increase in volume. Why?
Decreased lung compliance
Improved lung compliance
Decreased airway resistance
Unchanged pulmonary function
17
The vent's high-pressure alarm is frequently triggered. No kinks or circuit issues are identified. What is going on?
Increased lung compliance
Development of pneumothorax
Decreased metabolic demand
Reduced airway resistance
18
In the context of anesthesia ventilators, what does FGF stand for, and what is its significance?
Fresh Gas Flow - relates to amount of fresh gas added to inspiration breath
Focused Gas Frequency - the frequency which gases are cycled through
Fast Gas Filtration - refers to speed which gases are filtered through
Final Gas Flow - indicates the final amount of gas delivered to the patient
19
You see a sudden increase in peak airway pressure above the high-pressure alarm limit. What should you do first?
Increase the tidal volume to 600 ml
Switch from VC to PC ventilation immediately
Decrease the respiratory rate to 10 breaths per minute
Check for and resolve any kinks in the ventilator tubing
20
Which of the following statements best describes the advantage of using a piston-driven ventilator?
provides more precise control of TV without depleting fresh gas supply
requires driving gas, thus ensuring a steady supply from the fresh gas flow
operates on electricity alone, thus is prone to more frequent failures
uses a bellows mechanism, making it easier to detect leaks
21
You notice this flow-volume loop. What adjustment can be made to mitigate this issue?
Decrease the tidal volume to reduce the risk of overdistension
Increase the inspiratory flow rate to shorten the inspiratory phase
Extend the expiratory time to allow more time for exhalation
Increase the PEEP to maintain open airways during inhalation
22
What ventilator mode is displayed?
Pressure Control
Pressure Support
Volume Control
APRV
23
You observe a flow volume loop that demonstrates a decreased expiratory flow but normal inspiratory flow. What is it?
variable intrathoracic airway obstruction
normal pulmonary function
fixed airway obstruction
restrictive disease
24
What is the primary function of an anesthesia ventilator?
monitor heart rate
assist or replace spontaneous breathing
regulate body temperature
deliver a precise mixture of gases
25
The ascending bellow of the anesthesia ventilator fails to fully expand during exhalation. What is the cause?
Over-inflation of the lungs
Incorrect ventilator mode selection
Excessive sedation of the patient
A leak or disconnect in the ventilator circuit
26
Which ventilation mode would be most appropriate for an ARDS pt to maximize oxygenation while minimizing barotrauma?
Volume Control (VC)
Pressure Regulated Volume Control (PRVC)
Synchronized Intermittent Mandatory Ventilation (SIMV)
Pressure Control (PC)
27
You are delivering 1 L/min of O2 and 3 L/min of air to the patient. What is the FiO2 the patient is receiving?
30%
40%
60%
50%
28
What approach best aligns with the "lung-protective" ventilation strategy to reduce the risk of postop lung issues?
Employ low tidal volumes and appropriate levels of PEEP
Focus on maximizing inspiratory pressures to improve gas exchange
Increase the respiratory rate significantly to increase CO2 retention
Use high tidal volumes to ensure adequate oxygenation
29
What ventilator mode is displayed?
Pressure Control
Spontaneous
SIMV
Volume Control
30
Which condition is NOT associated with an increase in both PIP and plateau pressure?
Biting on the endotracheal tube (ETT)
Obesity
Pneumothorax
Bronchoconstriction
31
A patient shows an increasing peak inspiratory pressure with a normal plateau pressure. What is the most likely cause?
Malfunctioning expiratory valve
Patient is spontaneously breathing against the ventilator
Decreased lung compliance
Increase in airway resistance
32
What is the primary benefit of fresh gas flow decoupling in modern anesthesia machines?
ensures that changes in FGF do not affect the delivered tidal volume
automatically adjusts the I:E ratio based on the pt's respiratory mechanics
reduces the risk of ventilator-associated pneumonia
allows for lower fresh gas flow rates, reducing anesthesia gas costs
33
A patient on mechanical ventilation shows a "shark fin" pattern on the capnography waveform. This is indicative of:
Sudden increase in metabolic rate
Complete disconnection of the ventilator circuit
Partial airway obstruction
Optimal ventilator settings
34
Your patient has a EtCO2 of 80. The I:E ratio is set to 1:1. To improve CO2 elimination, what should you do?
Decrease the expiratory time to 0.5
Increase the expiratory time to 3
Decrease the respiratory rate
Increase the inspiratory time to 2
35
The vent has an I:E ratio of 1:2. What does this mean?
10 seconds in inspiratory phase, 50 seconds in expiratory phase
30 seconds in inspiratory phase, 30 seconds in expiratory phase
20 seconds in inspiratory phase, 40 seconds in expiratory phase
40 seconds in inspiratory phase, 20 seconds in expiratory phase
36
A patient with ARDS on volume control ventilation is showing signs of barotrauma. To minimize the risk of lung injury:
Increase the respiratory rate to decrease the tidal volume
Shift to pressure control ventilation to limit peak inspiratory pressure
Decrease PEEP to improve oxygenation
Increase tidal volume to reduce the respiratory rate
37
While in VC mode, you notice that the delivered TV are significantly lower than the set TV. All could be reasons EXCEPT:
Increase in fresh gas flow
Decreased lung compliance
Disconnection in the ventilator circuit
Increased airway resistance
38
In pressure control ventilation, what happens to the tidal volumes if the airway resistance increases?
Tidal volumes increase
Tidal volumes remain constant
Tidal volumes decrease
Tidal volumes vary indirectly to lung compliance