Exam 1: Principles of Mechanical Ventilation

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For critically-ill patients, the static compliance is between 40 and ____ mL/cm H2O.

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Outline the method used to measure static and dynamic compliance.

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(1) Obtain corrected expired tidal volume.
(2) Obtain plateau pressure by applying inspiratory hold or occluding the exhalation port at end-inspiration.
(3) Obtain peak inspiratory pressure.
(4) Obtain positive end-expiratory pressure (PEEP) level, if any.

In a clinical setting, acute respiratory distress syndrome (ARDS) and _______________ are two causes of increased work of breathing.

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atelectasis

In mechanical ventilation, the degree of airway resistance is primarily affected by the length, size, and patency of the airway, endotracheal tube, and _______________.

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One of the most common causes of increased airway resistance is COPD.

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____ occurs when the patient's minute ventilation cannot keep up with CO2 production.

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Which of the following is the difference between tidal volume and deadspace volume?

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Which of the following is a clinical example of a condition that may lead to ventilatory pump failure?

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One of the most frequent uses of mechanical ventilation is for the management of postoperative patients recovering from ____.

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Assessment of compliance can be divided into static compliance and dynamic compliance measurements. Explain the relationship and clinical significance of these measurements.

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Normal airway resistance in healthy adults is between 0.5 to ____ cm H2O/L/sec.

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When looking at the pressure-volume loop, a shift of the slope toward the pressure axis indicates a decrease in compliance.

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When a patient fails to ventilate or oxygenate adequately, the problem is caused by pathophysiological factors such as hyperventilation.

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The classic physiologic shunt equation ____.

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Which of the following is defined as wasted ventilation, or a condition in which ventilation is in excess of perfusion?

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What are the five mechanisms that lead to the development of ventilatory failure?

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Regardless of the diagnosis or disease state, patients who require mechanical ventilation generally have developed _______________, oxygenation failure, or both.

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For critically-ill patients, the dynamic compliance is between 30 and ____ mL/cm H2O.

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A(n) _______________ bowing of the P-V loop suggests an overall increase in airflow resistance.

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The gas diffusion coefficient for carbon dioxide is ____ times greater than that for oxygen.

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