Initial Ventilator Settings Flashcards
sometimes used in the home-care or alternative-care setting. In rare cases NPV has been used for ventilation of acutely ill infants
Negative Pressure Ventilation
Artificial airways, which include ________ airways (oral or nasal endotracheal tubes [ETs]) and tracheostomy tubes, are required for invasive ventilation
translaryngeal
About ___% of patients receiving invasive PPV are intubated (95% with an oral ET and 5% with a nasal ET). Tracheostomy tubes are used in the remaining 25% of patients receiving invasive PPV.3
75%
About 75% of patients receiving invasive PPV are ____ (95% with an oral ET and 5% with a nasal ET). Tracheostomy tubes are used in the remaining 25% of patients receiving invasive PPV.3
intubated
About 75% of patients receiving invasive PPV are intubated (95% with an oral ET and 5% with a nasal ET). ______ tubes are used in the remaining 25% of patients receiving invasive PPV.3
tracheostomy
There are two methods of providing noninvasive positive-pressure ventilator support:
Continuous positive airway pressure (CPAP)
Noninvasive positive-pressure ventilation (NIV)
Set three parameters
Pressure
Press, F, I time
Set three parameters
Volume
VT, F and flow or
VT, F, I time
What has the risk of overdist
Volume
Pressure
Set max
pressure… iknow :)
Pressure
Reduce risk of
Over distention
What rises with PV
Mean Airway Pressure
Volume is good for?
iatrogenic
hypervent in CHI
How should you set the cycle
Set the cycle as low as possible without making it into Auto cycling
Top reasons machines will \_\_\_\_ \_\_\_\_? Sensitivity set to low Auto-PEEP High bias flow Abdominal paradox
not cycle
Top reasons machines will not cycle \_\_\_\_\_\_ \_\_\_ \_\_\_ \_\_\_ Auto-PEEP High bias flow Abdominal paradox
Sensitivity set to low
Top reasons machines will not cycle Sensitivity set to low Auto-PEEP \_\_\_\_ \_\_\_\_\_ \_\_\_\_\_ Abdominal paradox
High bias flow
Top reasons machines will not cycle Sensitivity set to low \_\_\_\_\_\_\_\_ High bias flow Abdominal paradox
Auto-PEEP
Top reasons machines will not cycle Sensitivity set to low Auto-PEEP High bias flow \_\_\_\_\_\_ \_\_\_\_\_\_
Abdominal paradox
Top reasons machines will not cycle
Sensitivity set to low
Auto-PEEP
High bias flow
Abdominal paradox
Pressure or Volume?
Minute ventilation will be more controlled
Volume
In Volume control ______ varies with changes in compliance or resistance
Pressure
Volume Guarantees a specific
volume or MV
FACTOR AFFECTING PRESSURE
DURING VOLUME VENTILATION
Pts Lung Characteristics
Lower compliance or higher resistance results
in higher peak and plateau pressures
Insp Flow Patterns
Peak press higher with constant flow and lower
with dec flow
High insp as flow creates higher peak press
Volume Setting
High volumes give higher peak/plat pressures
w
In volume ventilation the lower the compliance or higher the resistance will result in higher ?
peak and plateau pressures
s