Test 3 Ch. 18

Question 1

Whenever an alarm activates on a ventilator or monitoring device, the clinicians should

Answer 1

• First make sure that the to is adequately ventilated and oxygenated
• During the initial assessment the alarm should be silenced
• When a serious problem is detected the pt may need to be disconnected and manually ventilated

Question 2

When removing a pt from the vent for manual ventilation it can:

Answer 2

• Inadvertently cause barotrauma by using excessive pressure during ventilation (>40 cm H20)
• If pt is mechanically ventilated w/ high PEEP, can cause derecruitment of the lungs
• Can cause contamination of pt’s airways and increasing pt’s risk of VAP

Question 3

Pt- related problems

Answer 3

• Airway problems
• Pneumothorax
• Bronchospasm
• Secretions
• Pulmonary edema
• Dynamic hyperinflation
• Abnormalities in Respiratory drive
• Change in body position
• Abnormal distention

Question 4

The most common pt related problems encounter during MV involve:

Answer 4

• The placement & latency of the artificial airway
• The presence of a pneumothorax bronchospasm and excess secretions

Question 5

Ventilator- Related Problems

Answer 5

• Leaks
• Inadequate oxygenation
• Inadequate ventilatory support
• Trigger sensitivy

Question 6

If pt is not asynchrony with the ventilator, what should the clinicians do?

Answer 6

Disconnect pt from the ventilatory and carefully ventilate the pt using a Amboo bag

Question 7

What may be the cause for a low pressure alarm to go off?

Answer 7

• leaks

Question 8

What may be the cause for a High pressure alarm to go off?

Answer 8

• secretions
• kinks in tube
• coughing

Question 9

Low PEEP/ CPAP alarm going off

Answer 9

not taking a deep enough breath

Question 10

Apnea alarm going off

Answer 10

Pt apnic for >20 seconds