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Respiratory Semester II > Unit I - Jacques Class - Resp Tech II > Flashcards

Unit I - Jacques Class - Resp Tech II Flashcards

1
Q

What does IPPB stand for

A

Intermittent Positive Pressure Breathing

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2
Q

What parameters are directly controlled when giving IPPB?

A

Sensitivity, flow, pressure

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3
Q

When the air/oxygen mix is switched from 50% to 100%, what happens to the flow?

A

Decreases

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4
Q

IPPB devices end inspiration when a pre-set ___ is reached

A

Pressure

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5
Q

The sensitivity parameter controls:

A

The effort required to initiate inspiration

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6
Q

The flow parameter controls:

A

How fast the breath is delivered

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7
Q

The pressure parameter controls:

A

The maximum pressure delivered to the patient

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8
Q

Air trapping occurs when there is not enough time allowed for____

A

Exhalation

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9
Q

If a patient is struggling to initiate a breath you should adjust what parameter?

A

Sensitivity

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10
Q

All of the following findings would indicate the need to stop an IPPB treatment

A

Hemoptysis, hypotension, and O2 induced hypoventilation

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11
Q

Recommended initial settings to start an IPPB treatment are:

A

Pressure 10-15cm H2O, Flow 25 LPM, Sensitivity 10

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12
Q

When administering an IPPB treatment you PT has decreased volumes and complains of right sided chest pain. You should:

A

Stop the treatment, apply O2, and check patients vitals

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13
Q

Delivering an IPPB treatment with no medication or saline will cause

A

Mucosal drying

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14
Q

The target Vt fir IPPD is:

A

10-15mL/kg

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15
Q

What is the correct ideal body weight calculation for a female:

A

45.5 + [2.3 (hot - 60)]

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16
Q

What is the ideal body weight for a 6ft 2in male?

A

82.2 kg

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17
Q

T or F: A sled-inflating manual resuscitator needs a flow source to function?

A

False

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18
Q

T or F: A flow-inflating manual resuscitator needs a flow source to function

A

True

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19
Q

What is a reservoir used for on a self-inflating manual resuscitator?

A

Increase delivered FIO2

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20
Q

What is the technique called for hand positioning during bag-mask ventilation?

A

EC method

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21
Q

The volume capabilities of an adult resuscitator are:

A

1.5-2.5 L

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22
Q

Can you deliver constant CPAP and O2 delivery with a self-inflating manual resuscitator?

A

No

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23
Q

Can you deliver constant CPAP and O2 delivery with a Flo-inflating manual resuscitator?

A

Yes

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24
Q

T or F: the powering mechanism for IPV in the hospital requires a 50 psi source

A

True

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25
Q

Each percussive cycle should last:

A

5-10 seconds

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26
Q

Which of the following observations confirm that effective ventilation is provided when using a manual resuscitator?

A

Visible chest rise and fall

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27
Q

Your patient complains of difficulty in initiating the IPPB treatment. You would adjust which of the following controls?

A

Sensitivity

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28
Q

To alter the VT during an IPPB treatment you adjust the:

A

Pressure

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29
Q

VT should be adjusted during an IPPB treatment to equal approximately:

A

10-15 ml/kg

30
Q

Calculate IBW for a 5ft 5in female weighing 180 lbs. And calculate the range

A

45.5+(2.3(65-60))= 57 kg
57x10 , 57x15 = 570-855 ml

31
Q

With the Bird IPPB machine when chasing from the air-mix to 100% FIO2 you may need to make which of the following adjustments to the settings?

A

Increase the flow

32
Q

Uses for manual resuscitation:

A

Rescue breathing
Transport for mechanically ventilated patients
Hyperinflation of lungs prior to suctioning

33
Q

The following are valves used in self-inflating manual resuscitators:

A

Diaphragm valve, spring loaded valve, duck bill valve

34
Q

The purpose of a reservoir on a manual resuscitator is to:

A

Increase the FIO2

35
Q

T or F: A self-inflating resuscitator needs a gas source to function

A

False

36
Q

IPV combines what techniques

A

CPT, IPPB, and aerosol medication delivery

37
Q

IPPB devices cycle to end aspiration when a pre-set ____ is reached

A

Pressure

38
Q

Sensitivity

A

Controls the ease of initiating a breath

39
Q

Pressure

A

Controls depth of breath (volume)

40
Q

Flow

A

Controls how fast the breath is delivered

41
Q

Air trapping occurs when there is not enough time left to ___ completely

A

Exhale

42
Q

When the air mix is set at 100% O2. what happens to the total flow delivered to the patient?

A

Decreases

43
Q

If the patent is having a difficult time initiating the breath, you would adjust which setting?

A

Sensitivity

44
Q

Inspiratory time can be lengthened during an IPPB treatment by:

A

Decreasing flow

45
Q

Negative deflection of the manometer during the first half of the breath followed by a positive deflection during the last half of the breath can be corrected by adjusting the:

A

Flow

46
Q

During administration of an IPPB treatment, the patient complains of dizziness and tingling in their fingers. What is the most likely cause of these symptoms?

A

Hyperventilation

47
Q

Which parameters can the practitioner directly control when giving an IPPB treatment?

A

Sensitivity, pressure, flow

48
Q

Upon assessing a patient’s IPPb circuit prior to use, you note that the device does not cycle off even when the mouthpiece is occluded. The most common explanation for this is:

A

The circuit has a leak

49
Q

Which of the following is the best initial setting for a new start of an IPPB treatment?

A

Pressure 15 cmH2O, Sensitivity -2 cm H2O, Flow Rate 25 L

50
Q

All of the following would indicate an IPPB treatment should be terminatedL

A

Increase in bronchospasm, hypotension, hemoptysis, and O2 induced hypoventilation

51
Q

IPPB is associated with a ___ exhalation

A

Passive

52
Q

Delivery of IPPB with an empty nebulizer cup may cause:

A

Mucosal drying

53
Q

The goals of IPPB include all of the followingL

A

reverse atelectasis, mobilize secretions, and improve distribution of ventilation

54
Q

IPPB is contraindicated in patients with an ICP > ____ mmHg

A

15

55
Q

Self-cycling occurs when what parameter is set correctly?

A

Sensitivity

56
Q

During an IPPB treatment, when bronchospasm decreases what changes would you see in the following parameters:

A

No change in pressure, increase in VT

57
Q

To make an IPPB machine an assist or control mode, you would alter:

A

Sensitivity

58
Q

You are ordered to give an IPPB treatment to a comatose patient who has severe lip ulcers. What interface would you use to administer the treatment?

A

Facemask (ambu bag)

59
Q

The drug choice for use with the IPV is:

A

Racemic Epinephrine

60
Q

T or F: The powering mechanism for IPV in the hospital requires a 50 psi source

A

True

61
Q

An increase in rate and VT while using the manual resuscitator has what effect on the delivered FIO2 of the gas?

A

Decreases

62
Q

What is true about a self-inflating bag?

A

Can provide increased FIO2 with external gas source, uses air room entrainment

63
Q

To ensure that highest FIO2 is delivered, you should do the following:

A

Add or use a reservoir, increase O2 flow

64
Q

The volume capabilities of a pediatric resuscitator is:

A

0.5-0.75 L

65
Q

During CPR, the oxygen reservoir bag of the manual resuscitator collapses during the refill phase. The RCP can correct this problem by:

A

Increase oxygen flow to the bag

66
Q

A patient is receiving IPPB therapy via a pressure-cycled ventilator with a mouthpiece. The RCP observes that the patient is exhaling, but fails to end the inspiratory cycle. Which of the following should be done to correct the situation?

A

Change the interface device to a mask

67
Q

During IPPB therapy with the Bennett PR-2 pressure preset ventilator, the ventilator cycles on every 5 seconds, regardless of patient effort. The Rcp should:

A

Check the rate control

68
Q

During an intermittent positive pressure breathing (IPPB) treatment with a Bird Mark 7 ventilator, the inspiratory time can be extended by:

A

Decreasing the flow

69
Q

The RCP is manually ventilating an intubated patient with a self inflating manual resuscitator at a flow rate of 25 LPM and odes not see the chest rise, what should the therapist do?

A

Check to see if the ETT cuff is properly inflated, listen to death sounds and overt the bell to check of tube placement

70
Q

A Bird Mark 7 set in the air dilution position has a source gas of 100% oxygen. Which of the following is true about this situation?

A

The FIO2 will be approximately 40-60 %

71
Q

Ideal Body Weight Calculations

A

Male: 50+ (2.3(height in inches-60)) = ___kg
Female: 45.5+(2.3(height in inches-60)) = ___kg
Multiply by 10 and 15 to get the range

Respiratory Semester II (11 decks)

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