NPS Normal vital signs

Question 1

Initial PIP:

Answer 1

20-30

Question 2

Initial Resp rate:

For low birth weight:

Answer 2

20-30

Add 10

Question 3

Initial I Time:

Answer 3

Infants: 0.25-0.5
Children: 0.5-0.7

Question 4

Initial FiO2:

Answer 4

30-60%
(Start at 30 and work your way up)
Go above 60% only in emergencies.

Question 5

Initial Flow:

Answer 5

5-10 L/min

Question 6

Initial PEEP:

Answer 6

3-5. Cannot exceed 8.

Has greatest effect on Paw

Question 7

Initial PAW:

Answer 7

15 or lower

Question 8

How do you calculate TV?

Answer 8

6-8 mL/kg
4-8 mL/kg for infants
6-10 mL/kg for children

Question 9

Initial Pressure Control

Answer 9

10-15 cm H2O with 5 of PEEP

Question 10

Normal fetal heart rate:

Answer 10

100-160

Question 11

Normal resp rate for a term infant:

Answer 11

30-60

Question 12

Normal BP for a term neonate:

Answer 12

60/40 (Half of adult BP)

Question 13

Normal resp rate for a 4-5 year old

Answer 13

22-34 (Faster if younger, slower if older

Question 14

How do you calculate lowest acceptable bp?

Answer 14

Up to 1 year: 70 systolic
1-10 years: 70 + (age x 2)
10 years or more: 90

Question 15

HFOV initial settings: Pmean

Answer 15

6 mL/kg +5 cm H2O.

Question 16

HFOV initial settings: FiO2

Answer 16

1.0

Question 17

HFOV initial settings: Frequency

Answer 17

5-6 Hertz

Question 18

HFOV initial settings: Power or amplitude or Delta P:

Answer 18

40, adjust for good chest wiggle.

Question 19

HFOV initial settings: Insp time

Answer 19

33%

Question 20

HFOV initial settings: Bias flow

Answer 20

Greater than 25 LPM. Increase if needed.

Question 21

In HFOV, if pt is hypercapnic, first ___. Then ___. Then ___.

Answer 21

Increase power/amplitude/delta P.
Decrease frequency
Increase I time

Question 22

In HFOV, if pt is hypocapnic, first ___. Then ___.

Answer 22

Increase frequency

Decrease power/amplitude/delta P.

Question 23

HFOV Indications

Answer 23

FiO2 greater than 0.6 required.
Pmean greater than 24.
Fistula, PIE, or barotrauma

Question 24

A target PaO2 in a newborn:

Answer 24

50-70 torr

Question 25

A target PaO2 in an infant:

Answer 25

85-100 torr

Question 26

A target PaO2 in a child:

Answer 26

80-100 torr