Pulm 11 - transmural pressure, angioedema, flu

Question 1

Hi risk pts who should be extubated to NIV have cardiopulmonary disease Hx or _____.

Answer 1

are older than 65

Question 2

Strategy for double triggering in pressure control mode

Answer 2

Increase inspiratory time

Question 3

Goal transmural pressure at end-expiration

Answer 3

> 0 (i.e. positive)

Question 4

Goal transmural pressure at end-inspiration

Answer 4

<25

Question 5

2 specific treatments for C1 inhibitor deficiency

Answer 5

Ecallantide & icatibant

Question 6

Tx for C1 inhibitor deficiency if ecallantide and icatibant are not available

Answer 6

FFP

Question 7

What’s the problem here?

Answer 7

Circuit leak

Question 8

Why would vent RR increase from circuit leak?

Answer 8

Auto-cycling! (Negative pressure/flow from leak triggers flow-cycled breaths)

Question 9

Oseltamivir may be continued up to ___ days in persistently ill pts.

Answer 9

10

Question 10

Neuraminidase inhibitor resistance should be considered if ill pts remain PCR (+) for flu at ___ days.

Answer 10

7-10