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Fundamentals II > Lab 2 Exam > Flashcards

Lab 2 Exam Flashcards

1
Q

What are 2 factors that help RRT pick the correct vent settings?

A
  • IBW
  • Disease process (diagnosis)
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2
Q

What some things that cause tachycardia in ventilated pts?

A
  • Pain
  • Anxiety
  • Bronchospasm
  • Secretions
  • A-synchronized w/ the vent
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3
Q

What is weaning success ?

A

Pt being able to tolerate spontaneous breathing for 48 hrs following extubation w/o the need for reintubation

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4
Q

What is weaning failure?

A

Failure of SBT or the need for reintubation

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5
Q

What are sources of VAP?

A
  • Hand hygiene
  • Not changing filters
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6
Q

What are ways to prevent VAP?

A
  • Wash hands
  • Oral care
  • HOB 30 degrees
  • Closed in line suctioning
  • changing filters
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7
Q

What mode is CMV?

A

Continuous Mandatory Ventilation
1. All breaths are mandatory
2. Volume-targeted or pressure targeted
3. Time-triggered

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8
Q

What mode is VC- CMV

A

Volume-Controlled Continuous Mandatory Volume
1. Volume targeted

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9
Q

What mode is PC-CMV

A

Pressure-Controlled Continuous Mandatory Ventilation
1. Pressure targeted
2. Time-triggered or pt triggered
3. Time cycled
RRT sets:
- length of inspiration
- pressure level
- backup rate of ventilation

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10
Q

What mode is IMV?

A

Intermitted Mandatory Ventilation
1. Periodic volume targeted or pressure targeted
2. Time triggered
3. Pt can breathe spontaneously between mandatory breaths w/o receiving a mandatory breath

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11
Q

SBT=

A

Spontaneous Breathing Trial

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12
Q

What mode is CPAP

A

Continuous Positive Airway Pressure
1. Weaning mode
2. 1 continuous level of positive pressure
3. Pt must be spontaneously breathing
**RRT sets:*
- Pressure support= 5
- PEEP= 5
- Fio2= >50%

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13
Q

What mode is PSV?

A

Pressure Support Ventilation
1. Constant pressure during inspiration once it sense
RRT sets:
- Inspiratory pressure
- PEEP
- Flow cycle criteria
- Sensitivity level
2. Used for weaning

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14
Q

The difference between IPAP and EPAP is

A

Pressure Support

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15
Q

What mode is BiPAP

A

Bilevel Positive Airway Pressure
1. RRT sets
- 2 pressure levels (inspiratory and expiratory positive airway pressure

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16
Q

What mode is PRVC

A

Pressure-regulated Volume Controlled
1. Volume targeted
2. Pressure controlled
3. Pt triggered
4. Time cycle

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17
Q

What mode is VSV

A

Volume Support Ventilation
1. Pressure support w/ volume targeted
2. Pt- triggered
3. Volume targeted
4. Flow cycled

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18
Q

What mode is MMV

A

Mandatory Minute Ventilation
1. Weaning mode
2. RRT sets
- minimum minute ventilation (dependent on pt’s current ME)
- High rate and low Vt alarms

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19
Q

What mode is SIMV?

A

Synchronized Intermittent Mandatory Ventilation
1. Used for weaning
2. Post-surgical pts
3. Prevents breath stacking

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20
Q

PEEP=

A

Positive End-Expiratory Pressure

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21
Q

What is Dynamic Compliance equation

A

Exhaled Vt/ (PIP- Pplat)

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22
Q

What is Static Compliance equation

A

Vt/ Pplat- PEEP)

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23
Q

What is the difference between CPAP and BiPAP?

A
  • CPAP= 1 continuous level of positive pressure
  • BiPAP= 2 set levels of positive pressure
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24
Q

VE=

A

Minute Ventilation

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25
Q

F=

A

RR

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26
Q

Vt=

A

Tidal volume

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27
Q

PIP=

A

Peak Inspiratory Pressure

28
Q

Pplat=

A

Plateau Pressure

29
Q

Cs=

A

Static Compliance

30
Q

Raw=

A

Airway resistance

31
Q

FIO2=

A

Fractional inspirited oxygen

32
Q

I/E ratio =

A

Inspiratory to Expiratory ratio

33
Q

VC=

A

Vital capacity

34
Q

MIP=

A

Maximal Inspiratory Pressure

35
Q

NIF=

A

Negative Inspiratory Force

36
Q

What supplies are needed for Intubation

A
  • Laryngoscope
  • Blade (Mac or Miller)
  • ET tube
  • 10 mL syringe
  • Stylet
  • ET tube securing device
  • Water- soluble lubricant
  • Carbon dioxide detector
  • Manual resuscitator
  • Yankauer
37
Q

How do you manipulate the vent when a pt is in Respiratory Acidosis

A
  • Higher RR
  • Higher VT
38
Q

How do you manipulate the vent when a pt is in Respiratory Alkalosis

A
  • lower RR
  • lower VT
39
Q

Range for RSBI (f/vt) for weaning

A

<60-105

40
Q

Normal value for RR for weaning

A

<35 breaths

41
Q

What type of weaning parameters are used

A
  • NIF >-20
  • RSBI <105
  • Vital Capacity >15
42
Q

High pressure alarms can be activated when

A
  • Pt coughs
  • Secretions
  • Kinks in tube
43
Q

Low pressure alarms cn be activated when

A
  • Leaks circuit tubbing
  • Pt disconnection
44
Q

What is ARDS protocol

A
  • Vt= 4 to 6
  • RR= 15-25
  • PEEP= high
  • FIO2= high
45
Q

Minute ventilation equation

A

ME= Vt x F

46
Q

RSBI=

A

Rapid Shallow Breathing Index

47
Q

RSBI equation

A

RR/ VT

48
Q

ATC=

A

Automatic Tube Compensation

49
Q

What is the definition for weaning?

A

The graduation reduction of ventilatory support from a pt whose condition is improving

50
Q

TCT=

A

Total Cycle Time

51
Q

TCT equation

A

TCT= Ti+Te

52
Q

Alarms are designed to

A

alert clinicians of potential dangers related to the pt ventilator

53
Q

A sigh is a

A

deep breath that is part of the normal breathing pattern

54
Q

ME is defined as

A

the movement of air in and out of the lungs

55
Q

2 weaning parameters of neuromuscular disorders

A
  • NIF
  • Vital capacity
56
Q

NPPV=

A

Noninvasive Positive Pressure Ventilation

57
Q

NIV=

A

Noninvasive Ventilation

58
Q

What is static compliance in: Men, Women, Children and Neonates?

A
  • Men= 40 to 50
  • Women= 35 to 45
  • Children 40 to 50
  • Neonates= 10 to 20
59
Q

If Vt is low on CPAP what can we do to increase it

A

Pressure support

60
Q

1 thing that increases static compliance

A

emphysema

61
Q

PTV=
What are the modes of ptv

A

-Pressure-Targeted Ventilation;

  • CPAP
  • Pressure Support
  • Spontaneous/ Time
62
Q

ABG for respiratory failure (vent failure)

A

pH= <7.30
Paco2= >50

63
Q

What are some indications (goals) for Mechanical Ventilation

A
  • Ventilation status
  • Oxygenation
  • WOB
  • Proactiveness
64
Q

What are the different levels to alarms

A
  • Blue= FYI
  • Yellow= A little urgent, take a look
  • Red=Urgent! Emergency
65
Q

What are the goals for adjusting PSV

A
  1. To help increase Vt (4 to 8mL)
  2. To decrease RR (<30 breaths/min)
  3. To decrease the WOB associated w/ breathing thru an artificial airway
66
Q

3 thing I may see if a pt is passing their SBT

A
  1. NIF= >-20
  2. RSBI= <105
  3. ME= 5 to 6 (<10)
67
Q

Things I may see if a pt is failing their SBT

A
  • BP drops
  • RR increases (30-35)
  • HrR increases
  • Vt decreases below 250 to 350

Fundamentals II (13 decks)

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