Exam 17: Neonatal Mechanical Ventilation

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Approximately 90% of surfactant is phospholipid, with ____ comprising 85% of the total amount.

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B

Explain the potential problem with heated wire circuits inside an inspiratory tubing.

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One potential problem with this system is found when the distal temperature probe is placed at the patient connection inside a heated incubator that is set at a higher temperature than the humidifier. As the inspiratory tubing enters the incubator, the gas is heated to the set temperature of the incubator environment. This causes the temperature probe to sense the higher temperature and shut down the heater wires. The result is a buildup of condensation in the inspiratory tubing.

Since the tidal volume (VT) control is not available when using pressure-controlled ventilation, an estimated VT can be calculated by multiplying the inspiratory time (I time) and ____.

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C

CPAP reduces V/Q mismatch by improving ____ and reducing intrapulmonary shunting.

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Neonatal ventilator circuits should have a high compression factor.

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Which of the following common surfactants has a recommended dosage of 4 mL/kg every 6 hours up to 4 total doses in the first 48 hours?

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A phenomenon, called _______________, occurs when inflated alveolar units equilibrate gases by swinging ventilations between them.

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If the tube does not have a vocal cord marking, a rule to estimate the depth of intubation is to add the number ____ to the body weight in kilograms (kg).

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What are some hazards associated with HFJV?

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Patients with ____ are excluded from consideration of ECMO.

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HFPPV is delivered at frequencies between ____ cycles per minute.

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_______________ is the method to apply airway pressure without any mechanical breaths.

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Selection of an ETT for neonates is based on the ____ or gestational age of the neonate.

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During mechanical ventilation, some of the ventilator volume is "lost" within the circuit and humidifier and is not delivered to the patient. This wasted volume is called the ____.

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The indications for using ____ include severe pulmonary disease that is complicated by air leaks, such as pulmonary interstitial emphysema (PIE), pulmonary hypoplasia, restrictive lung disease, and persistent pulmonary hypertension.

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Because of the potential risks associated with ECMO, the clinical criteria used selects only those infants who are at an 80% or greater risk of mortality if conventional methods are used.

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Recent publications have reported that N-CPAP is both feasible and effective in most very-low-birth-weight infants and those with acute respiratory failure.

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The SpO2 for premature infants less than 32 weeks gestation should be maintained between 85% and 92% to minimize the incidence of _______________.

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What are the three benefits of HFOV?

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Which of the following has a suggested starting ventilation of 20 to 30 cm H2O under low compliance conditions?

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