Exam 2: Effects of Positive Pressure Ventilation

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Positive pressure ventilation increases ____ and decreases cardiac output.

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Positive pressure ventilation causes an increase in intrathoracic pressure and compression of the pulmonary blood vessels leading to an overall decrease in ventricular output, stroke volume, and pressure readings.

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Compare continuous positive airway pressure (CPAP) and positive end-expiratory pressure PEEP.

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In comparing continuous positive airway pressure (CPAP) and PEEP, PEEP exerts a more negative effect on the cardiac output as it raises the mPaw (and PIP) proportionally. The effect of PEEP can be detrimental to the cardiac output because PEEP is the end-expiratory pressure used in addition to positive pressure ventilation. In CPAP, the pressure includes only the airway pressure during spontaneous breathing.

During pressure-controlled ventilation, the peak inspiratory pressure (PIP) is preset according to the estimated _______________ requirement of a patient.

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Discuss a few indicators of renal failure.

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GI complications may be caused by a(n) _______________ of perfusion to the GI tract and medications that are commonly used in mechanically ventilated patients.

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Carbon dioxide acts as a vasodilator in ____ blood vessels.

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Describe the relationship between PEEP and hepatic perfusion.

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Under normal conditions, the ____ and tidal volume are directly related in positive pressure ventilation.

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When TPN is used, it is essential to keep the amount of dextrose, a(n) ____, to a minimum as it can cause lipogenesis and increase O2 consumption and CO2 production.

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Which of the following is a pathophysiologic change associated with short-term (<24 hours) hyperventilation?

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The caloric cost of breathing for COPD patients is about 10 times that of normal individuals because of the increased work of breathing necessary to overcome the high airway resistance and V/Q abnormalities.

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Which of the following is a neurologic change associated with hypoxemia?

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Sustained hyperventilation of less than 24 hours causes respiratory alkalosis and increases cerebral blood flow and intracranial pressure.

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During spontaneous ventilation, the diaphragm and other respiratory muscles create gas flow by raising the pleural, alveolar, and airway pressures.

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Energy requirements for critically ill patients are normally computed by using the Harris-Benedict equation. This equation estimates the resting energy expenditure (REE) based on weight, height, age, and ____.

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During positive pressure ventilation, pressures measured in the ____, left atrium, pulmonary artery, and right atrium are slightly higher than those measured during spontaneous ventilation.

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Explain why adequate nutritional support is essential in the management of critically ill patients.

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Which of the following is a drug that is eliminated by tubular secretion?

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A decreased venous return (or filling of ventricles) leads to a reduction in ____.

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