Your patient develops a fever while being mechanically ventilated in the control mode. As a result of the fever, the patient's CO2 production increases while alveolar ventilation is unchanged. What is the probable change in ABGs?

A) Increase in PaCO2 B) Decrease in PaO2 C) Decrease in PaCO2 D) All of the above A) Increase in PaCO2 B) Decrease in PaO2 C) Decrease in PaCO2 D) All of the above

An adult patient in respiratory failure has the following blood gases on a nasal cannula at 5 L/min: pH = 7.20; PaCO2 = 67 mm Hg; HCO3-= 27 mEq/L; PaO2 = 89 mm Hg. The attending physician orders intubation and ventilatory support. What FiO2 would you recommend to start with?

A) 0.21 B) 0.30 C) 0.50 D) 0.90 A) 0.21 B) 0.30 C) 0.50 D) 0.90

After placing a patient on a volume-cycled ventilator in the continuous mandatory ventilation assist-control mode, you note that 55 cm H2O pressure is required to deliver the preset VT of 950 ml. What high-pressure limit would you now set for this patient?

A) 60 cm H2O B) 70 cm H2O C) 80 cm H2O D) 90 cm H2O A) 60 cm H2O B) 70 cm H2O C) 80 cm H2O D) 90 cm H2O

Exam 48: Initiating and Adjusting Invasive Ventilatory Support

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Physiological goals of artificial ventilatory support include which of the following? 1) Support or manipulate gas exchange. 2) Reduce or manipulate the work of breathing. 3) Increase lung volume.

Free

(Multiple Choice)

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Question 1

Correct Answer:

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Which of the following statements is false regarding ventilation in the assist-control mode?

Free

(Multiple Choice)

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Question 2

Correct Answer:

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What percentage of mechanical ventilated patients has a tracheostomy tube place at some point?

Free

(Multiple Choice)

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Question 3

Correct Answer:

Verified

Immediately after cardiac arrest and resuscitation, a patient is placed on a ventilator in the continuous mandatory ventilation assist-control mode. What initial FiO₂ would you recommend?

(Multiple Choice)

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Question 4

To stabilize a patient during the initial application of ventilatory support, which of the following parameters must be set? 1) Airway temperature 2) Ventilatory support mode 3) O₂ concentration (FiO₂) 4) Minute ventilation (f, V_T)

(Multiple Choice)

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Question 5

Air trapping is a major concern in patients with what diagnosis when using the assist-control mode?

(Multiple Choice)

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Question 6

Which the following are hazards associated with mechanical ventilation? 1) Reduced cardiac output 2) Liver failure 3) Increased work of breathing 4) Acute lung injury

(Multiple Choice)

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Question 7

A chronic obstructive pulmonary disease (COPD) patient in respiratory failure is receiving ventilatory support in the volume-targeted intermittent mandatory ventilation mode at a rate of 6/min. You measure an auto-PEEP level of 9 cm H₂O. Which of the following would you recommend to decrease the effects of auto-PEEP in this patient?

(Multiple Choice)

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Question 8

Your patient develops a fever while being mechanically ventilated in the control mode. As a result of the fever, the patient's CO₂ production increases while alveolar ventilation is unchanged. What is the probable change in ABGs?

(Multiple Choice)

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(30)

Question 9

Compared with a volume-cycled strategy, what are some potential advantages of pressure-targeted ventilatory support? 1) Limit and control of peak airway pressures 2) Direct control over inspiratory time 3) Provision of a decelerating flow pattern

(Multiple Choice)

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Question 10

A ventilator has separate rate and V_T controls. If you set a V_T of 650 ml and a respiratory rate of 12/min in the continuous mandatory ventilation mode, what will the minute ventilation be?

(Multiple Choice)

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Question 11

Which of the following is an advantage of Pressure Control Ventilation?

(Multiple Choice)

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Question 12

What limits should be initially set for high and low V_T values and/or minute volume alarms on a ventilatory support device?

(Multiple Choice)

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Question 13

An adult patient in respiratory failure has the following blood gases on a nasal cannula at 5 L/min: pH = 7.20; PaCO₂ = 67 mm Hg; HCO₃^-= 27 mEq/L; PaO₂ = 89 mm Hg. The attending physician orders intubation and ventilatory support. What FiO₂ would you recommend to start with?

(Multiple Choice)

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(32)

Question 14

During initial mechanical ventilation of the chronic obstructive pulmonary disease (COPD) patient with chronic hypercapnia, what PaCO₂ is most likely used as a target value?

(Multiple Choice)

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Question 15

When setting the tidal volume on a patient being mechanically ventilated, what criteria should be kept in mind?

(Multiple Choice)

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Question 16

Which of the following are primary goals of mechanical ventilation? 1) Adequate alveolar ventilation (V_A) 2) Maintaining adequate hemoglobin levels 3) Restoring acid-base balance 4) Maintaining adequate alveolar oxygenation

(Multiple Choice)

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Question 17

A physician orders intubation and mechanical ventilation in volume-controlled ventilation mode for a 170-lb adult man with neuromuscular disease. Which of the following initial settings would you recommend? Rate V_T

(Multiple Choice)

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Question 18

For adults with otherwise normal lungs who are receiving ventilatory support in the continuous mandatory ventilation control or assist-control mode, inspiratory flow should be set to provide what 1:E?

(Multiple Choice)

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Question 19

After placing a patient on a volume-cycled ventilator in the continuous mandatory ventilation assist-control mode, you note that 55 cm H₂O pressure is required to deliver the preset V_T of 950 ml. What high-pressure limit would you now set for this patient?

(Multiple Choice)

4.7/5

(37)

Question 20

Showing 1 - 20 of 97

Exam 48: Initiating and Adjusting Invasive Ventilatory Support

Physiological goals of artificial ventilatory support include which of the following? 1) Support or manipulate gas exchange. 2) Reduce or manipulate the work of breathing. 3) Increase lung volume.

Which of the following statements is false regarding ventilation in the assist-control mode?

What percentage of mechanical ventilated patients has a tracheostomy tube place at some point?

Immediately after cardiac arrest and resuscitation, a patient is placed on a ventilator in the continuous mandatory ventilation assist-control mode. What initial FiO2 would you recommend?

To stabilize a patient during the initial application of ventilatory support, which of the following parameters must be set? 1) Airway temperature 2) Ventilatory support mode 3) O2 concentration (FiO2) 4) Minute ventilation (f, VT)

Air trapping is a major concern in patients with what diagnosis when using the assist-control mode?

Which the following are hazards associated with mechanical ventilation? 1) Reduced cardiac output 2) Liver failure 3) Increased work of breathing 4) Acute lung injury

Your patient develops a fever while being mechanically ventilated in the control mode. As a result of the fever, the patient's CO2 production increases while alveolar ventilation is unchanged. What is the probable change in ABGs?

Compared with a volume-cycled strategy, what are some potential advantages of pressure-targeted ventilatory support? 1) Limit and control of peak airway pressures 2) Direct control over inspiratory time 3) Provision of a decelerating flow pattern

A ventilator has separate rate and VT controls. If you set a VT of 650 ml and a respiratory rate of 12/min in the continuous mandatory ventilation mode, what will the minute ventilation be?

Which of the following is an advantage of Pressure Control Ventilation?

What limits should be initially set for high and low VT values and/or minute volume alarms on a ventilatory support device?

An adult patient in respiratory failure has the following blood gases on a nasal cannula at 5 L/min: pH = 7.20; PaCO2 = 67 mm Hg; HCO3-= 27 mEq/L; PaO2 = 89 mm Hg. The attending physician orders intubation and ventilatory support. What FiO2 would you recommend to start with?

During initial mechanical ventilation of the chronic obstructive pulmonary disease (COPD) patient with chronic hypercapnia, what PaCO2 is most likely used as a target value?

When setting the tidal volume on a patient being mechanically ventilated, what criteria should be kept in mind?

Which of the following are primary goals of mechanical ventilation? 1) Adequate alveolar ventilation (VA) 2) Maintaining adequate hemoglobin levels 3) Restoring acid-base balance 4) Maintaining adequate alveolar oxygenation

A physician orders intubation and mechanical ventilation in volume-controlled ventilation mode for a 170-lb adult man with neuromuscular disease. Which of the following initial settings would you recommend? Rate VT

For adults with otherwise normal lungs who are receiving ventilatory support in the continuous mandatory ventilation control or assist-control mode, inspiratory flow should be set to provide what 1:E?

After placing a patient on a volume-cycled ventilator in the continuous mandatory ventilation assist-control mode, you note that 55 cm H2O pressure is required to deliver the preset VT of 950 ml. What high-pressure limit would you now set for this patient?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

Filters

Immediately after cardiac arrest and resuscitation, a patient is placed on a ventilator in the continuous mandatory ventilation assist-control mode. What initial FiO₂ would you recommend?

To stabilize a patient during the initial application of ventilatory support, which of the following parameters must be set? 1) Airway temperature 2) Ventilatory support mode 3) O₂ concentration (FiO₂) 4) Minute ventilation (f, V_T)

Your patient develops a fever while being mechanically ventilated in the control mode. As a result of the fever, the patient's CO₂ production increases while alveolar ventilation is unchanged. What is the probable change in ABGs?

A ventilator has separate rate and V_T controls. If you set a V_T of 650 ml and a respiratory rate of 12/min in the continuous mandatory ventilation mode, what will the minute ventilation be?

What limits should be initially set for high and low V_T values and/or minute volume alarms on a ventilatory support device?

An adult patient in respiratory failure has the following blood gases on a nasal cannula at 5 L/min: pH = 7.20; PaCO₂ = 67 mm Hg; HCO₃^-= 27 mEq/L; PaO₂ = 89 mm Hg. The attending physician orders intubation and ventilatory support. What FiO₂ would you recommend to start with?

During initial mechanical ventilation of the chronic obstructive pulmonary disease (COPD) patient with chronic hypercapnia, what PaCO₂ is most likely used as a target value?

Which of the following are primary goals of mechanical ventilation? 1) Adequate alveolar ventilation (V_A) 2) Maintaining adequate hemoglobin levels 3) Restoring acid-base balance 4) Maintaining adequate alveolar oxygenation

A physician orders intubation and mechanical ventilation in volume-controlled ventilation mode for a 170-lb adult man with neuromuscular disease. Which of the following initial settings would you recommend? Rate V_T

After placing a patient on a volume-cycled ventilator in the continuous mandatory ventilation assist-control mode, you note that 55 cm H₂O pressure is required to deliver the preset V_T of 950 ml. What high-pressure limit would you now set for this patient?