Modes Flashcards

(135 cards)

1
Q

Machine does all the work

A

Mandatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Patient triggers breath, machine controls and ends the breath

A

Assisted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Patient triggers, controls, and ends breath. Machine augments breath.

A

Spontaneous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CMV=VCV=?

A

Volume Control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Full Support

A

CMV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Used for Flail Chest

A

CMV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CMV Trigger

A

Time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Should only be used if patient is medicated/sedated/depressants/neuro muscular blockers.

A

CMV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Important alarm for CMV

A

Low Pressure, Low Exhaled Volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CMV Limit

A

Volume (flow or vol. cont)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CMV Cycle

A

Volume or Time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

CMV Trigger

A

Time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

I—>E Ends Inspiration and Starts Expiration

A

Cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Starts Inspiration

A

Jesus… and Trigger.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

CMV Therapist Controls

A

Flow
I-time
Volume
Rate (min and max)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CMV Patient Control

A

NONE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

CMV comp/resis

A

Peak Pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the Limit Insp. for all Volume controlled ventilation?

A

Volume target (flow or volume content)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A/C

A

Volume Assist Control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

A/C Trigger

A

Time or Patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

A/C limit insp.

A

Volume Target (flow or vol cont.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the cycle for ALL Volume Control Ventilation?

A

Volume or Time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Assist Control =

A

A/C, VC-AC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

A/C Patient Variable

A

Max Rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What Two Modes have no spontaneous breaths?
CMV and A/C | according to the chart she handed
26
How does the patient tolerate if they are awake in A/C mode?
Poorly Tolerated
27
What may happen if you use A/C mode on a patient with COPD
Air Trapping
28
What will happen with patients who have a rapid drive to breathe in A/C mode?
They may hyperventilate
29
Which of the following are Common Causes of Rapid Drive to breathe? ``` I. Metabolic Acidosis II. Anxiety III. Stress IV. Irritable Bowel V. Hypoxemia VI. Pain VII. Inappropriate Vent Settings ```
All of them except IV
30
If patient starts to show signs of a rapid drive on A/C ventilation what would be two things you could do?
Switch to SIMV or sedate the patient
31
In A/C what does the patient have a guarantee of?
Minute rate. Or its money back... That wasn't funny
32
In A/C mode what does the patient determine
Maximum
33
How would you want to set the rate on A/C?
2 < patient Rate
34
Full Support on a Vent will do what to a patients WOB
Decrease it
35
A/C trigger settings
Operator sets trigger Sensitivity | Must have proper trigger setting
36
A/C What will vary with change in compliance and resistance
Pressure
37
A/C if flow is not set properly what will happen to pt's WOB
Increase
38
A/C why is volume constant?
Because flow and I time are constant
39
IMV =
Intermittent Mandatory Ventilation
40
TRUE OR FALSE! IMV is spontaneous and mechanical breathing?
TRUE
41
IMV trigger on mechanical
Time
42
IMV trigger on Spontaneous
Patient
43
IMV Limit Insp. Mechanical
Volume (flow)
44
IMV Limit Insp. Spontaneous
None
45
IMV (S) Therapist Control
Sensitivity for trigger of spontaneous breaths
46
IMV (M) Cycle
VOLUME OR TIME
47
IMV (S) Cycle
FLOW
48
In Spontaneous breaths what will be the cycle?
Flow (if demanded)
49
What Three Volume Modes have Spontaneous breaths?
IMV SIMV SIMV/PSV
50
Whats the old term she put in her PPT that describes the machine shooting more breath into a patients lung before they exhaled the last one that isn't used anymore?!
Breath Stacking
51
How was breath stacking resolved?
SIMV
52
IMV (S) Patient Control
Flow Volume I Time Spontaneous Rate
53
IMV (M) Patient Variable
NONE
54
IMV (M) COMP/RESIS
Peak Pressure
55
IMV (S) COMP/RESIS
Flow Volume I/E Time Spontaneous Rate
56
SIMV
Synchronized Intermittent Mandatory Ventilation
57
SIMV can be considered partial vent support but can be considered full vent support if?
The rate is increased
58
TRUE OR FALSE! The synchronous window is adjustable in SIMV?
FALSE! The synchronous window is not adjustable in SIMV.
59
Do patients adapt themselves to the machine rate in SIMV
Yes
60
``` ON SIMV Patients can regulate A) pH B) Co2 C) Temperature D) A & B ```
D ON SIMV patients can regulate their own pH and Co2
61
How are the weaning protocols on SIMV?
Excellent!
62
SIMV may help maintain _____ strength and _______
muscle; coordination
63
SIMV may provide a lower ______ than A/C
MAP (mean airway pressure?)
64
SIMV with high PSV can do what to WOB
INCREASE
65
SIMV what can occur at lower rates
Acute Hypoventilation
66
SIMV weaning can be?
prolonged
67
SIMV what is needed to overcome WOB?
PSV
68
(Common Sense) SIMV what can occur in patients who have rapid shallow breathing
fatigue
69
PSV
Pressure Support Ventilation
70
SIMV C PSV Spontaneous Limit. Insp.
Pressure Target (Press Cont)
71
According the Chart Denise handed back what is the only Volume control mode that has Limit Insp. in Spontaneous Breathing?
SIMV c PSV and it is Pressure Target.
72
What is Therapist Control in Spontaneous Breathing for SIMV c PSV
Sensitivity Ramp Pressure Level during Inspiration Flow Cycle
73
is PSV mechanical or spontaneous or both?
Spontaneous
74
What is PSV doing to spontaneous breathing
Augments
75
PSV Like ____ delivers a high flow of gas at beginning and then it tapers are pressure gradient equalizes
PCV
76
PSV Like PCV delivers a _____ flow of gas at beginning and then it tapers are pressure gradient equalizes
High
77
PSV Like PCV delivers a high flow of gas at _______ and then it tapers are pressure gradient equalizes
Beginning
78
PSV What happens to the work of breathing by overcoming resistance to tubing and circuit?
Decreases
79
PSV Trigger
Patient
80
PSV Inspiratory Limit
Pressure Target
81
PSV Cycle
Flow
82
PSV Therapist Control
Sensitivity Ramp Pressure Level during inspiration flow cycle
83
PSV Patient Control
Flow Volume I/E Time Spontaneous Rate
84
PSV Compliance/Resistance
Flow Volume I/E Time E Time
85
The ______ _______ % adjusts the flow cycle level of pressure supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is 45% which will be effective for all large leaks.
expiratory Sensitivity
86
The expiratory Sensitivity % adjusts the_____ _____level of pressure supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is 45% which will be effective for all large leaks.
flow cycle
87
The expiratory Sensitivity % adjusts the flow cycle level of ______ supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is 45% which will be effective for all large leaks.
Pressure
88
The expiratory Sensitivity % adjusts the flow cycle level of pressure supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is ___% which will be effective for all large leaks.
45%
89
The expiratory Sensitivity % adjusts the flow cycle level of pressure supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is 45% which will be effective for all ____ leaks.
Large
90
Fine Tunes the length on inspiration for the patient
Expiratory Time Sensitivity
91
CHART Pressure Control Mode (PCV) VS. PSV
PSV= E-time are shorter PCV= I Times are constant
92
What two modes are used to overcome resistance in tubing poor demand flow and airways
PSV and SIMV
93
PSV Level = ?
RAW
94
Raw =
Peak-Plat (cmH20) Raw= ----------------- Flow (Lps)
95
Refers to maximum to unloading of respiratory muscle
PSVmax
96
Whatever is needed to achieve Vt ___-____ ml/kg then titrated to let pt do more work.
10-12
97
Whatever is needed to achieve Vt 10-12 ml/kg then titrated to let ____ do more work.
patient
98
Looking at chart of a patient on CPAP what would you notice about the pressure?
The baseline has increased
99
Combines two modes of A/C (with limit number of breaths) and PSV during spontaneous Breaths
SIMV and SPV
100
How often is SIMV with PSV used?
ALL THE TIME
101
PSIMV
Pressure Synchronized Intermittent Mandatory Ventilation
102
Combination of pressure assist/control breaths and PSV during spontaneous breaths
PSIMV and PSV
103
PSIMV spontaneous or mechanical or both?
BOTH
104
SIMV c PSV and CPAP
adding peep to the mix
105
SIMV c PSV and CPAP are what kind of machine breaths
volume targeted machine breaths SIMV c PSV and CPAP are volume targeted machine breaths
106
PSIMV c PSV and CPAP are what kind of machine breaths
pressure targeted
107
MMV
Mandatory Minute Ventilation
108
MMV is used in
Weaning
109
Set MV at __% - ____% of current VE
70% and 90%
110
MMV what does the vent monitor if it drops below set level of the vent and provides mechanical support to make-up difference
Spontaneous Minute Volume
111
CPAP
Continuous Positive Airway Pressure
112
MMV Bear 1000
Increasing breath rate
113
MMV Hamilton
Increases preset pressure
114
Machine reads total volume in one minute, patient can breath at low volume very fast and keep same ?
minute volume
115
What must you set correctly in MMA
High Frequency and low VT correctly
116
Airway pressure release ventilation Two levels of spontaneous breathing and allow the patient to ____ and _____ at both levels
Inspire and Expire
117
Airway pressure release ventilation Each pressure level is ____ and _____ triggered
time cycled and time triggered
118
Airway pressure release ventilation Set high level by?
Oxygenation
119
Airway pressure release ventilation High level is interrupted by allowing pressure to drop very briefly (1 sec) to _____ level
Lower
120
Airway pressure release ventilation lower pressure allow patient is _____ and reduce _____
Exhale; FRC
121
Expiration flow not generally permitted to return to baseline so ______ is intentionally present
auto peep
122
Trigger - Time and Patient
``` Trigger Sensitivity Initiate Start Change from E to I Begin the breath ```
123
Inspiration | Pressure
Pressure Controlled Pressure Target Pressure Oriented Pressure Limited
124
Inspiration Pressure the machine reaches a ___ pressure and maintains that pressure during the breath
set
125
Inspiration Pressure Flow varies with?
Lung changes
126
Inspiration Pressure Volume varies with
Lung Changes
127
Inspiration | Volume
volume oriented volume targeted volume limited volume controlled
128
Inspiration Volume Flow?
Controlled
129
Inspiration Volume ____ Guarentee
Volume
130
Inspiration Volume Volume Does OR does not change with lung
DOES NOT CHANGE
131
Inspiration Volume Pressure varies with
Lung changes
132
Cycle
``` Cycle End of breath Terminated Extinguish Begin Expiration Change from I to E ```
133
What is the mode Inspiration is started by the machine or patient, pressure is guaranteed, inspiration is terminated when a set time has elapsed.
P-AC
134
VOLUME Modes
``` control A/C IMV (control and spon SIMV SIMV c PSV ```
135
PRESSURE MODES
PSV PC/AC, P-AC, PCV PSIMV- PAC (PC) and spon PSIMV C PSV