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58 Inhalation Therapy and Mechanical Ventilation in the PACU & ICU
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Published
12/13/2023
{{c2::HeliOx}} is a lower {{c1::density}} gas mixture that improves airflow in patients with high airway resistance.
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When does absorption atelectasis occur?{{c1::FiO2 > 80%}}
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Positive pressure ventilation {{c1::increases::increases or decreases}} physiologic dead space.
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Positive pressure ventilation {{c1::decreases::increases or decreases}} cardiac output.
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In {{c2::volume}} control ventilation, the ventilator attempts to achieve a preset {{c1::tidal volume}} with variable {{c1::airway pressure}}.
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The advantage of using SIMV over IMV is that is improve patient {{c1::comfort}} through {{c2::synchronization of mandatory breaths}}.
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The advantage of PCV (pressure control ventilation) is a reduced risk of {{c1::baro}}trauma.
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Assist-Control ventilation will produce a {{c1::fixed}} volume/pressure and {{c1::variable}} rate.
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What is the normal (physiological) I:E ratio?{{c1::1:2 to 1:3}}
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What is an IRV ventilator mode?{{c1::Inverse (I:E) ratio ventilation such that inspiratory time is greater than expiratory time.}}
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High-frequency ventilation delivers Vt that are {{c1::bigger::greater or smaller}} than anatomic deadspace.
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When weaning a patient off a ventilator, the {{c1::pressure support}} should be incrementally reduced.
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How does positive pressure, such as CPAP, affect FRC?{{c1::Increased due to decreased atelectasis}}
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PEEP is applied {{c1::at end-expiration}}, while CPAP is applied {{c2::continuously}}.
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PEEP/CPAP will increase {{c1::FRC::lung volume}}.
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Excessive {{c2::PEEP/CPAP}} increases dead space by compressing {{c1::alveolar capillaries}}.
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What cheap, non-pharmacological intervention reduces the risk for postoperative atelectasis?{{c1::Incentive spirometry}}
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How should the I:E ratio be adjusted for a patient with obstructive lung disease?{{c1::Prolonged expiratory time (e.g. 1:3)}}
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The main drawback of inverse I:E ratio ventilation (IRV) is {{c2::barotrauma}} from {{c1::auto-PEEP}}.
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In {{c2::pressure}} control ventilation, the ventilator attempts to achieve a preset {{c1::airway pressure}} with variable {{c1::tidal volumes}}. …
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12/13/2023
Which form of control ventilation produces better distribution of gases?{{c1::Pressure control ventilation}}
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12/13/2023
The disadvantage of pressure control ventilation is that changes in {{c1::lung compliance}} or {{c2::airway resistance}} may decrease the tidal volume…
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What ventilator mode is this?{{c1::Volume control}}
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What ventilator mode is this?{{c1::Pressure control}}
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Controlled mandatory ventilation will produce a {{c1::fixed}} volume/pressure and {{c1::fixed}} rate.
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On SIMV, {{c1::mandatory}} breaths are controlled, while {{c1::spontaneous}} breaths are pressure-supported.
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The preferred ventilator mode for anesthesia with an LMA is {{c1::pressure support ventilation}}.
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PEEP can cause {{c2::hypotension}} by increasing the {{c1::intrathoracic}} pressure and reducing venous return.
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What ventilator mode provides differing inspiratory positive airway pressure and expiratory positive airway pressure? {{c1::BiPAP}}
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12/13/2023
Abrupt increases in {{c2::peak inspiratory pressures}} are strongly suggestive of {{c3::pneumothorax}}.
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