NIV

Question 1

high flow

Answer 1

• controls fiO2 (not diluted with room air)
• reduces WOB
• humidified to optimize recreation clearance
• reduced dead space (reduced rebreathing of CO2)
• Dynamic PEEP
• fit 50% 2/3 of nares
• 0-12kg 2 L/min/kg to max of 25L, 13-15kg 30L/min, 16-30kg 35L/min, 31-50kg 40L/min
• • max T1 is 25ish
• • Very useful in WOB pts

Question 2

BiPAP

Answer 2

• Postitive pressure at airway opening to promote flow to promote effective gas exchange

useful in: acute/chronic resp pts, resp distress in viral infection and athena

** LOC isn’t a contraindication only real contraindication is a pneumo

** use small bonnet with larger mask if having fir issues

.5mg/kg of ketamine IV bolus to infusion 10mcg/kg/min IV infusion

typical starting point is 6/6 (=12/6 with T1 as it is peep compensated)

Question 3

what is NIV on T1

Answer 3

pressure support

- pt triggered with transition form EPAP to IPAP

Question 4

NIV ST on T1

Answer 4

spontaneous/timed mode with PS and backup pressure control breaths, similar to NIV except with backup

useful in refractory pts who require a higher mean airway pressure for recruitment (ie increase backup rate)

Question 5

max NIV setting

Answer 5

20/12 ( as 20 is the pressure required to open esophagus)

Question 6

simple fix for patients on home NIV who presents with illness

Answer 6

• suction
• change interface (ie fullface)
• change position
• increase settings

Question 7

When in NIV used in Neonates

Answer 7

ABDs

Question 8

flow rate for < 25kg JR bagger

Answer 8

6lpm

Question 9

max fi02 fir high flow

Answer 9

50-60%