Test 1 Ch.3 How a Breath is Delivered Flashcards

1
Q

What are the mandatory volume controlled settings

A
  • volume (Vt)
  • RR
  • Fio2
  • PEEP
  • Flow
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2
Q

In volume control the….

A

volume and flow is controlled and pressure varies

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3
Q

_____ and _______ waveforms will stay ___________, while ____________ waveform change based on _______ ______________

A

Vt
flow
constant
Pressure
lung mechanics

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4
Q

What is a benefit of volume-control that is guaranteed?

A

Minute ventilation. B/c of Ve=RR x Vt (those 2 settings are already set)

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5
Q

What mode is the easiest mode to normalize or correct ABGs?

A

Volume control

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6
Q

In pressure control, the

A

pressure is controlled and volume and flow vary based on lung mechanics

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7
Q

What mandatory settings are set in pressure control (5)

A
  • inspiratory pressure ( can use this to manipulate Vt)
  • RR
  • Fio2
  • PEEP
  • I-time (inspiratory time)
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8
Q

In pressure control you set the

A

I-time and the pt can do whatever flow they want throughout the i-time that was set

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9
Q

What is the difference between volume and pressure control?

A

Volume: Vt and flow is controlled and pressure varies
Pressure: pressure is controlled and Vt and flow varies

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10
Q

On a generic screen on the ventilator, there are 3 waveforms: volume, pressure, and flow. If a pt is in a volume-controlled mode, what 2 of the 3 waveforms will remain constant and which waveform will change?

A
  • Volume and flow will remain constant
  • Pressure will change based on lung mechanics
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11
Q

Because the pressure varies in volume-control, what risks can come from that?

A

Barotrauma

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12
Q

What is peak Flow normal range?

A

40- 80

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13
Q

Where do we normally start with Flow?

A

60

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14
Q

In pressure control, the VE….

A

varies over the breaths

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15
Q

What are other names for Pressure-controlled ventilation?

A
  • Pressure-targeted ventilation
  • Pressure ventilation
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16
Q

What are other names for Volume-controlled?

A
  • Volume-targeted ventilation
  • Volume ventilation
17
Q

pressure controller, the vent maintains the same pressure waveform at the……

A

mouth regardless of changes in lung characteristics

18
Q

volume controller, ventilator volume delivery, and volume waveform remain…

What’s measured?

A

constant and are not affected by changes in lung mechanics. Volume is measured

19
Q

Flow controller, ventilator volume delivery, and flow waveform remain…

What is measured?

A

constant and are not affected by changes in lung mechanics. Flow is measured

20
Q

In Time controller, the pressure, volume and flow curves can…

A

change as lung characteristics change. Time remains constant

21
Q

What is flow?

A

How fast will a pt get the volume that is set

22
Q

When the vent maintains the pressure waveform in a specific pattern, the breathing is described as…..

A

Pressure-controlled

23
Q

What is the most common cycling mechanism in the pressure support mode?

A

Flow cycling

24
Q

What are the two most common patient-triggering variables?

A

Pressure and flow

25
What are the two primary control variables?
Pressure and volume
26
A pt is in pressure-control mode and their airway resistance increases. What do you expect to happen next?
VT decreases
27
In volume control if airway resistance increases then...
you will have an increased PIP
28
During volume-control ventilation, lung compliance improves. This will cause..
PIP to decrease (Increase in lung compliance is good)
29
If lung compliance worsens (decreases) what will happen with PIP and why?
PIP will increase b/c lungs are getting stiffer