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MODES OF VENT > Modes > Flashcards

Modes Flashcards

1
Q

Machine does all the work

A

Mandatory

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2
Q

Patient triggers breath, machine controls and ends the breath

A

Assisted

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3
Q

Patient triggers, controls, and ends breath. Machine augments breath.

A

Spontaneous

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4
Q

CMV=VCV=?

A

Volume Control

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5
Q

Full Support

A

CMV

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6
Q

Used for Flail Chest

A

CMV

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7
Q

CMV Trigger

A

Time

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8
Q

Should only be used if patient is medicated/sedated/depressants/neuro muscular blockers.

A

CMV

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9
Q

Important alarm for CMV

A

Low Pressure, Low Exhaled Volume

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10
Q

CMV Limit

A

Volume (flow or vol. cont)

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11
Q

CMV Cycle

A

Volume or Time

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12
Q

CMV Trigger

A

Time

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13
Q

I—>E Ends Inspiration and Starts Expiration

A

Cycle

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14
Q

Starts Inspiration

A

Jesus… and Trigger.

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15
Q

CMV Therapist Controls

A

Flow
I-time
Volume
Rate (min and max)

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16
Q

CMV Patient Control

A

NONE

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17
Q

CMV comp/resis

A

Peak Pressure

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18
Q

What is the Limit Insp. for all Volume controlled ventilation?

A

Volume target (flow or volume content)

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19
Q

A/C

A

Volume Assist Control

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20
Q

A/C Trigger

A

Time or Patient

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21
Q

A/C limit insp.

A

Volume Target (flow or vol cont.)

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22
Q

What is the cycle for ALL Volume Control Ventilation?

A

Volume or Time

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23
Q

Assist Control =

A

A/C, VC-AC

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24
Q

A/C Patient Variable

A

Max Rate

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25
Q

What Two Modes have no spontaneous breaths?

A

CMV and A/C

according to the chart she handed

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26
Q

How does the patient tolerate if they are awake in A/C mode?

A

Poorly Tolerated

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27
Q

What may happen if you use A/C mode on a patient with COPD

A

Air Trapping

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28
Q

What will happen with patients who have a rapid drive to breathe in A/C mode?

A

They may hyperventilate

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29
Q

Which of the following are Common Causes of Rapid Drive to breathe?

I. Metabolic Acidosis 
II. Anxiety 
III. Stress
IV. Irritable Bowel 
V. Hypoxemia 
VI. Pain
VII. Inappropriate Vent Settings
A

All of them except IV

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30
Q

If patient starts to show signs of a rapid drive on A/C ventilation what would be two things you could do?

A

Switch to SIMV or sedate the patient

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31
Q

In A/C what does the patient have a guarantee of?

A

Minute rate.

Or its money back… That wasn’t funny

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32
Q

In A/C mode what does the patient determine

A

Maximum

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33
Q

How would you want to set the rate on A/C?

A

2 < patient Rate

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34
Q

Full Support on a Vent will do what to a patients WOB

A

Decrease it

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35
Q

A/C trigger settings

A

Operator sets trigger Sensitivity

Must have proper trigger setting

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36
Q

A/C What will vary with change in compliance and resistance

A

Pressure

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37
Q

A/C if flow is not set properly what will happen to pt’s WOB

A

Increase

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38
Q

A/C why is volume constant?

A

Because flow and I time are constant

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39
Q

IMV =

A

Intermittent Mandatory Ventilation

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40
Q

TRUE OR FALSE!

IMV is spontaneous and mechanical breathing?

A

TRUE

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41
Q

IMV trigger on mechanical

A

Time

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42
Q

IMV trigger on Spontaneous

A

Patient

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43
Q

IMV Limit Insp. Mechanical

A

Volume (flow)

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44
Q

IMV Limit Insp. Spontaneous

A

None

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45
Q

IMV (S) Therapist Control

A

Sensitivity for trigger of spontaneous breaths

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46
Q

IMV (M) Cycle

A

VOLUME OR TIME

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47
Q

IMV (S) Cycle

A

FLOW

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48
Q

In Spontaneous breaths what will be the cycle?

A

Flow (if demanded)

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49
Q

What Three Volume Modes have Spontaneous breaths?

A

IMV
SIMV
SIMV/PSV

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50
Q

Whats the old term she put in her PPT that describes the machine shooting more breath into a patients lung before they exhaled the last one that isn’t used anymore?!

A

Breath Stacking

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51
Q

How was breath stacking resolved?

A

SIMV

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52
Q

IMV (S) Patient Control

A

Flow
Volume
I Time
Spontaneous Rate

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53
Q

IMV (M) Patient Variable

A

NONE

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54
Q

IMV (M) COMP/RESIS

A

Peak Pressure

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55
Q

IMV (S) COMP/RESIS

A

Flow
Volume
I/E Time
Spontaneous Rate

56
Q

SIMV

A

Synchronized Intermittent Mandatory Ventilation

57
Q

SIMV can be considered partial vent support but can be considered full vent support if?

A

The rate is increased

58
Q

TRUE OR FALSE!

The synchronous window is adjustable in SIMV?

A

FALSE!

The synchronous window is not adjustable in SIMV.

59
Q

Do patients adapt themselves to the machine rate in SIMV

A

Yes

60
Q 
ON SIMV Patients can regulate
A) pH
B) Co2
C) Temperature 
D) A & B
A

D

ON SIMV patients can regulate their own pH and Co2

61
Q

How are the weaning protocols on SIMV?

A

Excellent!

62
Q

SIMV may help maintain _____ strength and _______

A

muscle; coordination

63
Q

SIMV may provide a lower ______ than A/C

A

MAP (mean airway pressure?)

64
Q

SIMV with high PSV can do what to WOB

A

INCREASE

65
Q

SIMV what can occur at lower rates

A

Acute Hypoventilation

66
Q

SIMV weaning can be?

A

prolonged

67
Q

SIMV what is needed to overcome WOB?

A

PSV

68
Q

(Common Sense) SIMV what can occur in patients who have rapid shallow breathing

A

fatigue

69
Q

PSV

A

Pressure Support Ventilation

70
Q

SIMV C PSV Spontaneous Limit. Insp.

A

Pressure Target (Press Cont)

71
Q

According the Chart Denise handed back what is the only Volume control mode that has Limit Insp. in Spontaneous Breathing?

A

SIMV c PSV and it is Pressure Target.

72
Q

What is Therapist Control in Spontaneous Breathing for SIMV c PSV

A

Sensitivity
Ramp
Pressure Level during Inspiration
Flow Cycle

73
Q

is PSV mechanical or spontaneous or both?

A

Spontaneous

74
Q

What is PSV doing to spontaneous breathing

A

Augments

75
Q

PSV Like ____ delivers a high flow of gas at beginning and then it tapers are pressure gradient equalizes

A

PCV

76
Q

PSV Like PCV delivers a _____ flow of gas at beginning and then it tapers are pressure gradient equalizes

A

High

77
Q

PSV Like PCV delivers a high flow of gas at _______ and then it tapers are pressure gradient equalizes

A

Beginning

78
Q

PSV What happens to the work of breathing by overcoming resistance to tubing and circuit?

A

Decreases

79
Q

PSV Trigger

A

Patient

80
Q

PSV Inspiratory Limit

A

Pressure Target

81
Q

PSV Cycle

A

Flow

82
Q

PSV Therapist Control

A

Sensitivity
Ramp
Pressure Level during inspiration
flow cycle

83
Q

PSV Patient Control

A

Flow
Volume
I/E Time
Spontaneous Rate

84
Q

PSV Compliance/Resistance

A

Flow
Volume
I/E Time
E Time

85
Q

The ______ _______ % adjusts the flow cycle level of pressure supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is 45% which will be effective for all large leaks.

A

expiratory Sensitivity

86
Q

The expiratory Sensitivity % adjusts the_____ _____level of pressure supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is 45% which will be effective for all large leaks.

A

flow cycle

87
Q

The expiratory Sensitivity % adjusts the flow cycle level of ______ supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is 45% which will be effective for all large leaks.

A

Pressure

88
Q

The expiratory Sensitivity % adjusts the flow cycle level of pressure supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is ___% which will be effective for all large leaks.

A

45%

89
Q

The expiratory Sensitivity % adjusts the flow cycle level of pressure supported breaths. In the event of a leak, the ETS % can be adjusted to that pressure supported breaths will end. Maximum setting is 45% which will be effective for all ____ leaks.

A

Large

90
Q

Fine Tunes the length on inspiration for the patient

A

Expiratory Time Sensitivity

91
Q

CHART

Pressure Control Mode (PCV) VS. PSV

A

PSV= E-time are shorter

PCV= I Times are constant

92
Q

What two modes are used to overcome resistance in tubing poor demand flow and airways

A

PSV and SIMV

93
Q

PSV Level = ?

A

RAW

94
Q

Raw =

A

Peak-Plat (cmH20)
Raw= —————–
Flow (Lps)

95
Q

Refers to maximum to unloading of respiratory muscle

A

PSVmax

96
Q

Whatever is needed to achieve Vt ___-____ ml/kg then titrated to let pt do more work.

A

10-12

97
Q

Whatever is needed to achieve Vt 10-12 ml/kg then titrated to let ____ do more work.

A

patient

98
Q

Looking at chart of a patient on CPAP what would you notice about the pressure?

A

The baseline has increased

99
Q

Combines two modes of A/C (with limit number of breaths) and PSV during spontaneous Breaths

A

SIMV and SPV

100
Q

How often is SIMV with PSV used?

A

ALL THE TIME

101
Q

PSIMV

A

Pressure Synchronized Intermittent Mandatory Ventilation

102
Q

Combination of pressure assist/control breaths and PSV during spontaneous breaths

A

PSIMV and PSV

103
Q

PSIMV spontaneous or mechanical or both?

A

BOTH

104
Q

SIMV c PSV and CPAP

A

adding peep to the mix

105
Q

SIMV c PSV and CPAP are what kind of machine breaths

A

volume targeted machine breaths

SIMV c PSV and CPAP are volume targeted machine breaths

106
Q

PSIMV c PSV and CPAP are what kind of machine breaths

A

pressure targeted

107
Q

MMV

A

Mandatory Minute Ventilation

108
Q

MMV is used in

A

Weaning

109
Q

Set MV at __% - ____% of current VE

A

70% and 90%

110
Q

MMV what does the vent monitor if it drops below set level of the vent and provides mechanical support to make-up difference

A

Spontaneous Minute Volume

111
Q

CPAP

A

Continuous Positive Airway Pressure

112
Q

MMV Bear 1000

A

Increasing breath rate

113
Q

MMV Hamilton

A

Increases preset pressure

114
Q

Machine reads total volume in one minute, patient can breath at low volume very fast and keep same ?

A

minute volume

115
Q

What must you set correctly in MMA

A

High Frequency and low VT correctly

116
Q

Airway pressure release ventilation

Two levels of spontaneous breathing and allow the patient to ____ and _____ at both levels

A

Inspire and Expire

117
Q

Airway pressure release ventilation

Each pressure level is ____ and _____ triggered

A

time cycled and time triggered

118
Q

Airway pressure release ventilation

Set high level by?

A

Oxygenation

119
Q

Airway pressure release ventilation

High level is interrupted by allowing pressure to drop very briefly (1 sec) to _____ level

A

Lower

120
Q

Airway pressure release ventilation

lower pressure allow patient is _____ and reduce _____

A

Exhale; FRC

121
Q

Expiration flow not generally permitted to return to baseline so ______ is intentionally present

A

auto peep

122
Q

Trigger - Time and Patient

A 
Trigger
Sensitivity 
Initiate Start
Change from E to I
Begin the breath
123
Q

Inspiration

Pressure

A

Pressure Controlled
Pressure Target
Pressure Oriented
Pressure Limited

124
Q

Inspiration
Pressure

the machine reaches a ___ pressure and maintains that pressure during the breath

A

set

125
Q

Inspiration
Pressure

Flow varies with?

A

Lung changes

126
Q

Inspiration
Pressure

Volume varies with

A

Lung Changes

127
Q

Inspiration

Volume

A

volume oriented
volume targeted
volume limited
volume controlled

128
Q

Inspiration
Volume

Flow?

A

Controlled

129
Q

Inspiration
Volume

____ Guarentee

A

Volume

130
Q

Inspiration
Volume

Volume Does OR does not change with lung

A

DOES NOT CHANGE

131
Q

Inspiration
Volume

Pressure varies with

A

Lung changes

132
Q

Cycle

A 
Cycle 
End of breath
Terminated
Extinguish 
Begin Expiration
Change from I to E
133
Q

What is the mode

Inspiration is started by the machine or patient, pressure is guaranteed, inspiration is terminated when a set time has elapsed.

A

P-AC

134
Q

VOLUME Modes

A 
control
A/C
IMV (control and spon
SIMV
SIMV c PSV
135
Q

PRESSURE MODES

A

PSV
PC/AC, P-AC, PCV
PSIMV- PAC (PC) and spon
PSIMV C PSV

MODES OF VENT (4 decks)

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