44 Questions
Which one of these is a purpose of respiratory equipment commonly used in the treatment of patients with pulmonary disease?
To improve gas exchange
Which one of these is a precaution for the use of respiratory equipment in the treatment of patients with pulmonary disease?
Avoiding excessive positive pressure
Which one of these is an associated problem of suctioning?
Hypoxemia
When is suctioning appropriate?
When the patient has excessive mucus production
When is suctioning not appropriate?
When the patient has a dry cough
Which one of these is a pathophysiological change that occurs with obstructive diseases?
Increased airway resistance
Which type of mechanical ventilation allows the patient to initiate additional spontaneous breaths that are not mechanical?
Intermittent Mandatory Ventilation (IMV, SIMV)
What is the purpose of PEEP in mechanical ventilation?
To prevent peripheral airway collapse
What is the main purpose of pressure support mode in mechanical ventilation?
To respond to spontaneous respiratory rate
Which type of mechanical ventilation is usually not indicated for transfers out of bed due to the patient's medical status?
Controlled ventilation
Which type of mechanical ventilation is possible with all types of passive ROM exercises?
Intermittent Mandatory Ventilation (IMV, SIMV)
Which type of mechanical ventilation is more dependent upon the patient's tolerance to treatment and overall cardiovascular status for sitting balance and active exercises?
Controlled ventilation
What are the criteria for receiving the Inspire device for sleep apnea?
Diagnosis of moderate to severe obstructive sleep apnea
Which of the following is a valid scoring range for the mobility status tool in the ICU?
0-3 points
What is the maximum score that can be obtained with the mobility status tool in the ICU?
32 points
What is the goal for ambulation distance by ICU discharge?
100 ft.
How often is physical therapy done in the ICU?
Twice a day
When is FIO2 increased by 20% during therapy sessions in the ICU?
Before the activity is begun
What is the contraindication for continuing PT/OT in the ICU based on mean arterial pressure?
< 65 or > 110
When should a therapy session be stopped in the ICU?
All of the above
What are some outcomes associated with early ICU intervention?
Decreased hospital stay
What is associated with lack of early ICU mobility?
Readmissions or death during the first year
Which nerve stimulates the movement of the tongue to keep the airway open during inspiration?
Hypoglossal nerve
What is the purpose of the Passy-Muir Valve?
To allow expiration through the upper airway
What are the criteria for weaning from mechanical ventilation?
TV < 325 ml
What is the purpose of the Threshold Loading Device?
To add resistance to inspiration
What is the main difference between Venoarterial (VA) and Venovenous (VV) ECMO?
VA ECMO is mainly used for lung support, while VV ECMO is mainly used for heart or BP problems
What is the percentage of patients in the ICU with sepsis, multisystem failure, or prolonged mechanical ventilation who have neuromuscular dysfunction?
46%
What is the indicator for skeletal muscle weakness in ICU-acquired weakness?
Grip strength < 7kg in females, < 11kg in males
Which of the following outcomes is NOT associated with early ICU intervention?
Decreased protein catabolism in skeletal muscle
What is the percentage of patients in the ICU who are able to ambulate more than 100 feet at the time of ICU discharge?
69.4%
Which of the following outcomes is associated with lack of early ICU mobility?
Readmissions or death during the first year
Which type of mechanical ventilation is usually not indicated for transfers out of bed due to the patient's medical status?
Controlled ventilation
What is the purpose of the Passy-Muir Valve?
To allow expiration through the upper airway
What is the percentage of patients in the ICU with sepsis, multisystem failure, or prolonged mechanical ventilation who have neuromuscular dysfunction?
46%
Which nerve stimulates the movement of the tongue to keep the airway open during inspiration?
Hypoglossal nerve
Which mode of mechanical ventilation allows the patient to initiate additional mechanical breaths of set tidal volume and flow rate, used with critically ill patients with low lung compliance, and does not allow for spontaneous breathing to occur?
Assist Control
Which mode of mechanical ventilation provides a preselected number of mechanical breaths, allows the patient to initiate additional spontaneous breaths that are not mechanical, and the minute ventilation is the sum of spontaneous and mechanical breaths?
Intermittent Mandatory Ventilation (IMV, SIMV)
Which mode of mechanical ventilation delivers a set pressure when the patient triggers it, and the patient effort controls respiratory rate, tidal volume, I:E ratio and minute ventilation?
Pressure Support
Which mode of mechanical ventilation is characterized by a predetermined number of machine breaths, no spontaneous breathing occurs, and is used with critically ill patients with low lung compliance?
Assist Control
Which one of these is a factor contributing to skeletal muscle weakness in ICU-Acquired Weakness?
Sepsis-induced vascular and metabolic derangements
Which one of these is an indicator of grip strength in ICU-Acquired Weakness?
Grip strength < 7kg in females, < 11kg in males
Which one of these is a goal for mobilizing patients in the ICU?
Optimize O2 transport and function of systems involved
Which one of these is a scoring system used to assess functional status in the ICU?
Functional Status Score for the ICU (FSS-ICU)
Test your knowledge on Bilevel Ventilation and the Passy-Muir Valve. Learn about the functions of the hypoglossal nerve and how it keeps the airway open during inspiration. Discover the benefits of using a one-way tracheostomy valve. Take the quiz now!
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