Unit I - Jacques Class - Resp Tech II

Question 1

What does IPPB stand for

Answer 1

Intermittent Positive Pressure Breathing

Question 2

What parameters are directly controlled when giving IPPB?

Answer 2

Sensitivity, flow, pressure

Question 3

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

Answer 3

Decreases

Question 4

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

Answer 4

Pressure

Question 5

The sensitivity parameter controls:

Answer 5

The effort required to initiate inspiration

Question 6

The flow parameter controls:

Answer 6

How fast the breath is delivered

Question 7

The pressure parameter controls:

Answer 7

The maximum pressure delivered to the patient

Question 8

Air trapping occurs when there is not enough time allowed for____

Answer 8

Exhalation

Question 9

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

Answer 9

Sensitivity

Question 10

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

Answer 10

Hemoptysis, hypotension, and O2 induced hypoventilation

Question 11

Recommended initial settings to start an IPPB treatment are:

Answer 11

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

Question 12

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

Answer 12

Stop the treatment, apply O2, and check patients vitals

Question 13

Delivering an IPPB treatment with no medication or saline will cause

Answer 13

Mucosal drying

Question 14

The target Vt fir IPPD is:

Answer 14

10-15mL/kg

Question 15

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

Answer 15

45.5 + [2.3 (hot - 60)]

Question 16

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

Answer 16

82.2 kg

Question 17

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

Answer 17

False

Question 18

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

Answer 18

True

Question 19

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

Answer 19

Increase delivered FIO2

Question 20

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

Answer 20

EC method

Question 21

The volume capabilities of an adult resuscitator are:

Answer 21

1.5-2.5 L

Question 22

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

Answer 22

No

Question 23

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

Answer 23

Yes

Question 24

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

Answer 24

True

Question 25

Each percussive cycle should last:

Answer 25

5-10 seconds

Question 26

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

Answer 26

Visible chest rise and fall

Question 27

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

Answer 27

Sensitivity

Question 28

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

Answer 28

Pressure

Question 29

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

Answer 29

10-15 ml/kg

Question 30

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

Answer 30

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

Question 31

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?

Answer 31

Increase the flow

Question 32

Uses for manual resuscitation:

Answer 32

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

Question 33

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

Answer 33

Diaphragm valve, spring loaded valve, duck bill valve

Question 34

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

Answer 34

Increase the FIO2

Question 35

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

Answer 35

False

Question 36

IPV combines what techniques

Answer 36

CPT, IPPB, and aerosol medication delivery

Question 37

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

Answer 37

Pressure

Question 38

Sensitivity

Answer 38

Controls the ease of initiating a breath

Question 39

Pressure

Answer 39

Controls depth of breath (volume)

Question 40

Flow

Answer 40

Controls how fast the breath is delivered

Question 41

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

Answer 41

Exhale

Question 42

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

Answer 42

Decreases

Question 43

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

Answer 43

Sensitivity

Question 44

Inspiratory time can be lengthened during an IPPB treatment by:

Answer 44

Decreasing flow

Question 45

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:

Answer 45

Flow

Question 46

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?

Answer 46

Hyperventilation

Question 47

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

Answer 47

Sensitivity, pressure, flow

Question 48

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:

Answer 48

The circuit has a leak

Question 49

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

Answer 49

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

Question 50

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

Answer 50

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

Question 51

IPPB is associated with a ___ exhalation

Answer 51

Passive

Question 52

Delivery of IPPB with an empty nebulizer cup may cause:

Answer 52

Mucosal drying

Question 53

The goals of IPPB include all of the followingL

Answer 53

reverse atelectasis, mobilize secretions, and improve distribution of ventilation

Question 54

IPPB is contraindicated in patients with an ICP > ____ mmHg

Answer 54

15

Question 55

Self-cycling occurs when what parameter is set correctly?

Answer 55

Sensitivity

Question 56

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

Answer 56

No change in pressure, increase in VT

Question 57

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

Answer 57

Sensitivity

Question 58

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?

Answer 58

Facemask (ambu bag)

Question 59

The drug choice for use with the IPV is:

Answer 59

Racemic Epinephrine

Question 60

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

Answer 60

True

Question 61

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

Answer 61

Decreases

Question 62

What is true about a self-inflating bag?

Answer 62

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

Question 63

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

Answer 63

Add or use a reservoir, increase O2 flow

Question 64

The volume capabilities of a pediatric resuscitator is:

Answer 64

0.5-0.75 L

Question 65

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

Answer 65

Increase oxygen flow to the bag

Question 66

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?

Answer 66

Change the interface device to a mask

Question 67

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:

Answer 67

Check the rate control

Question 68

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

Answer 68

Decreasing the flow

Question 69

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?

Answer 69

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

Question 70

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?

Answer 70

The FIO2 will be approximately 40-60 %

Question 71

Ideal Body Weight Calculations

Answer 71

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