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Respiratory Day Flashcards | StudBud
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Respiratory Day
Respiratory Day
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Questions
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Answers
1
Assist Control (AC) would be appropriate for a patient with a RR of 40.
False
True
2
In a Volume Control mode of ventilation, the patients pressures will vary.
False
True
3
Which of the following is NOT an indication for mechanical ventilation?
Airway protection
Aspiration Risk
Comprimised gag reflex
Patient is combative
4
Any patient that is being mechanically ventilated should be connected to and continuously monitored with EtCo2
True
False
5
Your patient is on AC on 40% FiO2; Last ABG showed pH 7.35; CO2 45; PaO2 50. What vent changes do you anticipate?
Increase RR & TV
Decrease PEEP and/or FiO2
Increase PS
Increase PEEP and/or FiO2
6
Adjunct therapies for treatment of ARDS in the mechanically ventilated patient include all of the following EXCEPT:
Prone Positioning
Nitric Oxide/Veletri
Minimizing patient movement
ECMO
7
Which of the following is NOT diagnostic of ARDS?
Patients CXR shows diffuse infiltrates
Patients SpO2 is 99%
Patients Pa02 is 50
Patients PaO2/FiO2 ratio is 150
8
In SIMV (Volume Control), the patient will recieve the set tidal volume with every breath (from vent or spontaneous).
True
False
9
Pressure or Volume settings to high in low-compliance lungs can cause Barotrauma or Volutrauma
True
False
10
Which of the following suggests that a patient may be ready to be weaned off the ventilator and extubated?
Patient is on SIMV R: 18 TV 400 PS 10 PEEP 5 FiO2 40%; RR 20, SpO2 100%
Patient is on APRV
Patient is on PS 10/5; RR 20, SpO2 96%
Patient is on PS 20/10; RR 16, SpO2 98%
11
What would be an appropriate ventilator setting for a patient in ARDS?(patient is 70kg)
SMIV R: 18, TV 600, PS 20, PEEP 15, FiO2 100%
CPAP 20/5, FiO2 100%
SIMV R: 14, TV 350, PS 10, PEEP 10, FiO2 50%
AC R: 20, TV 550, PEEP 5, FiO2 100%
12
Pressure Support settings helps the pt to overcome the resistance of the vent circuit and ETT with spontaneous breaths.
True
False
13
Which of the following may be an effect of mechanical ventilation and PEEP?
reduced cardiac output
atelectasis
oxygen toxicity
ARDS
14
Your patient is on SIMV; last ABG showed pH 7.25 & CO2 60. What setting changes do you anticpate?
Decrease the FiO2
Increase PS
Increase PEEP
Increase the RR or TV
15
Nursing assessment of an orally intubated patient includes all of the following EXCEPT:
Secretion description
Listening for air leak from around the cuff
ETT size & "cm" line marking at the lip
ETT inner cannula in place
