Blog

All of the following are goals of noninvasive ventilation (NIV) in the acute care setting except:

What is the primary purpose of an obturator?

There is a male pt that is on the ventilator that is being ventilated with APRV, your current settings are: Thigh 4.8 sec PHigh 30 cmH20 Tlow .6 sec PLow 0 The pt is sedated, you want to increase ventilation to blow off CO2, what change would you make to their current settings?

A 46-year-old male patient is 2 days post-op for surgery to repair and aortic aneurysm. He is currently receiving mechanical ventilation. Auscultation of the anterior and posterior chest reveals bilateral late inspiratory crackles. Percussion is dull in both lower lobes. A STAT radiograph reveals bibasilar infiltrates. The most likely cause of this patient’s clinical presentation is which of the following?

Indications for artificial airways are which of the following? I. airway is compromised II. bypass defense mechanism III. facilitate suctioning IV. patient’s airway can no longer perform proper functions

While monitoring a pt being weaned through a T tube protocol, signs indicating that mechanical ventilation should be restored include which of the following? I. development of cardiac arrhythmias II. asynchronous or paradoxical breathing III. development of severe hypotension IV. mild rise in respiratory rate

Which of the following are sedatives? I. diazepam II. midazolam III. fentanyl IV. propofol

You come upon a pt in PRVC and you notice that the pt is not getting their VT that is set, you have been watching for awhile and notice that the high pressure alarm is not sounding despite the PIP being at 40 cmH20, which of the following is true for this pt?

You are ventilating a female patient in the AC VC mode, she is 5’2″ with a VT of 375 mL set rate of 13 with a spontaneous rate of 8, FiO2 35% and PEEP 5, ABG reveals:  pH 7.27  PaCo2 51  PaO2 61  HCO3 27, what should your first action be?

Which of the following must be connected to make the HFV work correctly? I. External blender and analyzer must be used for FiO2 accuracy II. Oxygen hooked up to breathing gas inlet and air to cooling inlet III. humidification and heating system use IV. HME needs to be put at the Y in the circuit