mechanical ventilation Flashcards

1
Q

how much O2 is in the air

A

21%

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2
Q

what are the 3 ventilator parameters that you need to know

A

mode of ventilation
FiO2
PEEP

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3
Q

what are the 2 monitored parameters that you need to know

A

minute ventilation
respiratory rate

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4
Q

what is defined as the pressure applied by the ventilator at the end of each breath

A

PEEP (positive end expiratory pressure)

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5
Q

what does PEEP prevent the airways from doing

A

collapsing

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6
Q

excessive PEERP may ____ cardiac output and impair systemic oxygen delivery

A

reduce ( because to much pressure )

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7
Q

3-5 cmH2O is considered what level of PEEP

A

low

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8
Q

5-15 cmH2O is considered what level of PEEP

A

moderate

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9
Q

> 15 cmH2O is considered what level of PEEP

A

high

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10
Q

the purpose of moderate peep is to treat refractory _____ in acute lung injury

A

Hypoxemia

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11
Q

what are the 3 traditional ventilation modes

A

assist control
synchronized intermittent mandatory ventilation + pressure support
pressure support

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12
Q

assist control is a ___ weaning mode

A

non

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13
Q

in assist control the rate and tidal volume are ____

A

pre set

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14
Q

with assist control the pateint can generate breaths by triggering ventilator (T/F)

A

true

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15
Q

Synchronized Intermittent Mandatory Ventilation (SIMV) is a non weaning mode (T/F)

A

false ( it is a weaning mode)

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16
Q

a patient on Synchronized Intermittent Mandatory Ventilation (SIMV) will get ____ breaths by trigger ventilator

A

spontaneous

17
Q

what to take note of with Synchronized Intermittent Mandatory Ventilation (SIMV)

A

rate
FiO2
PEEP
pressure support

18
Q

Pressure Support Ventilation (PSV) is a ____ mode

A

weaning

19
Q

is the tidal volume pre-set with Pressure Support Ventilation (PSV)

A

no

20
Q

if a patient is on Pressure Support Ventilation (PSV)
they control the _____ rate and ____ time

A

respiratory rate and inspiratory time

21
Q

what is the Pressure Support Ventilation (PSV) usually set at

A

10 cmH2O

22
Q

what is the highest and lowers Pressure Support Ventilation (PSV)

A

0 is lowest and 30 is highest

23
Q

what to look at for Pressure Support Ventilation (PSV)

A

pressure support
FiO2
PEEP

24
Q

does A/C given additional breaths to patients? SIMV? SPONT (CPAP/PS) ?

A

A/C- yes
SIMV- yes
SPONT- no

25
Q

during assist control the ventilator delivers pre set _____

A

tidal volume/pressure

26
Q

what are the 2 categories for non invasive ventilation

A

CPAP and BIPAP

27
Q

which non invasive ventilation is constance positive pressure applied in the airways

A

CPAP

28
Q

If patient only needs NIPPV prn can they tolerate physical activity

A

yes

29
Q

if someone has a pressure support of 20 cmH2O is that a lot or a little

A

a lot bc max is 30

30
Q

which ventilations are more for weaning

A

SIMV and SPON (CPAP/PS)

31
Q

if a patient has FiO2 > 60% or .6 would u work with them?

A

no