Decreased Respiratory Compliance Quiz

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Questions and Answers

What happens to the plateau pressure when respiratory system compliance decreases?

  • It becomes negative
  • It remains the same
  • It increases (correct)
  • It decreases

If compliance decreases to 25 mL/cm H2O, what will the plateau pressure increase to?

  • 22 cm H2O (correct)
  • 27 cm H2O
  • 30 cm H2O
  • 15 cm H2O

Which stage occurs immediately after the end of inspiration in the mechanical breath cycle?

  • Plateau pressure phase
  • Beginning of inspiration
  • End of expiration
  • Expiration (correct)

What occurs to peak inspiratory pressure (PIP) when compliance decreases?

<p>It increases (A)</p> Signup and view all the answers

In a pressure waveform graph, what does the plateau region indicate?

<p>Constant pressure during inspiration (D)</p> Signup and view all the answers

Which component does NOT belong to the six stages of a mechanical breath cycle?

<p>Transition phase (C)</p> Signup and view all the answers

How is the pressure waveform affected by decreased respiratory compliance on the graph?

<p>The entire waveform shifts upward (D)</p> Signup and view all the answers

What does the vertical axis represent in the pressure versus time graph of the breath cycle?

<p>Pressure in cm Hâ‚‚O (C)</p> Signup and view all the answers

How does an increase in inspiratory flow rate affect inspiratory time?

<p>Decreases inspiratory time (B)</p> Signup and view all the answers

What is the transairway pressure if the flow is 45000 mL/min and airway resistance is 10 cm?

<p>5 cm H2O (C)</p> Signup and view all the answers

What is the I:E ratio if the expiration time is 3.27 sec and inspiration time is 0.73 sec?

<p>4.47 (D)</p> Signup and view all the answers

What happens to peak inspiratory pressure (PIP) if airway resistance doubles to 10 cm?

<p>Increases to 21 cm H2O (A)</p> Signup and view all the answers

How long does it take to inspire 550 mL given the inspiratory flow rate of 45,000 mL/min?

<p>0.73 sec (B)</p> Signup and view all the answers

What is the plateau pressure when static compliance is 50 ml/cm H2O and tidal volume is 550 mL?

<p>11 cm H2O (D)</p> Signup and view all the answers

What remains constant despite changes in airway resistance up to 10 cm?

<p>Plateau pressure (C)</p> Signup and view all the answers

What happens to the expiratory time if the inspiratory flow rate is decreased?

<p>Increases (C)</p> Signup and view all the answers

What characteristic of pressure in Assist Mode Ventilation is depicted by the graph?

<p>Fluctuations with both peaks and valleys (B)</p> Signup and view all the answers

What does the volume graph in Assist Mode Ventilation indicate?

<p>Volume changes during the ventilation cycle (C)</p> Signup and view all the answers

What does the Y-axis represent in the volume graph during Pressure Control Ventilation?

<p>Volume in Liters (B)</p> Signup and view all the answers

Which of the following must be set when using Pressure Control Ventilation?

<p>Inspiratory Time (A)</p> Signup and view all the answers

In the flow graph of Pressure Control Ventilation, what shape characterizes the expiratory phase?

<p>A gradual slope (B)</p> Signup and view all the answers

What is represented on the X-axis of the pressure graph during Pressure Control Ventilation?

<p>Time in seconds (B)</p> Signup and view all the answers

Which variable is primarily affected during the inspiratory phase in the pressure graph?

<p>Peak Pressure (B)</p> Signup and view all the answers

Which parameter is NOT one of the four basic parameters most descriptive of mechanical ventilation?

<p>Oxygen Concentration (B)</p> Signup and view all the answers

What type of loop provides quick information on specific changes in lung function?

<p>Pressure-volume loop (D)</p> Signup and view all the answers

Which of the following is NOT a variable plotted against time in waveform scalars?

<p>Inspiratory Rate over time (B)</p> Signup and view all the answers

In the clinical example provided, what is the respiratory frequency (f) value for the volume ventilator?

<p>15 breaths (D)</p> Signup and view all the answers

Which of the following is a component of airflow that can be measured during mechanical ventilation?

<p>Tidal Volume (B)</p> Signup and view all the answers

What effect does an increase in resistance have on flow during mechanical ventilation?

<p>Flow decreases, leading to prolonged inspiratory time. (A), Flow becomes turbulent, decreasing overall ventilation efficiency. (B)</p> Signup and view all the answers

Which mode of ventilation ensures that every breath delivered is patient-initiated or mandatory?

<p>Assist Mode Ventilation (B)</p> Signup and view all the answers

In which scenario would you expect to see a change in cycle time and respiratory rate interrelationship?

<p>When adjusting tidal volume settings. (B), When switching from assist to control ventilation mode. (D)</p> Signup and view all the answers

How does an increase in flow rate impact inspiratory and expiratory time during mechanical ventilation?

<p>It only shortens inspiratory time while keeping expiratory time constant. (C), It shortens both inspiratory and expiratory times. (D)</p> Signup and view all the answers

Which of the following statements accurately reflects the effect of compliance on ventilatory mechanics?

<p>Higher compliance results in lower plateau pressures. (A), Greater compliance necessitates decreased inspiratory pressure settings. (D)</p> Signup and view all the answers

What is the time interval between breaths when the frequency is set to 15 breaths per minute?

<p>4 seconds (C)</p> Signup and view all the answers

What happens to the expiratory time when the inspiratory flow rate is decreased?

<p>It increases (A)</p> Signup and view all the answers

How long does it take to inspire 550 mL when the flow rate is decreased to 22,500 mL per minute?

<p>1.46 seconds (B)</p> Signup and view all the answers

What is the effect on the time between breaths if the frequency of ventilation is decreased?

<p>It increases (A)</p> Signup and view all the answers

What happens to the inspiratory time when the flow rate is reduced?

<p>It increases (A)</p> Signup and view all the answers

Flashcards

Decreased compliance

Reduced ability of the lungs to expand.

Plateau Pressure

Pressure during inspiration when airflow stops.

Increased Plateau Pressure

Higher plateau pressure due to reduced lung compliance.

Peak Inspiratory Pressure (PIP)

Maximum pressure during inhalation.

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Respiratory System Compliance

Measure of lung's expandability.

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Pressure Waveform

Graph showing pressure changes during breathing.

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Inspiration

Inhaling, filling of the lungs with air.

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Expiration

Exhaling, expelling air from the lungs.

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Inspiratory/Expiratory Ratio (I:E)

The ratio of inspiratory time to expiratory time during a breath cycle.

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Flow Rate and Breathing Time

Higher flow rates lead to shorter inspiratory times and longer expiratory times; lower flow rates mean longer inspiratory times and shorter expiratory times.

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Airway Resistance (Raw)

The resistance to airflow in the airways.

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Transairway Pressure

The pressure required to overcome airway resistance during breathing.

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Compliance

Measure of how easily the lungs expand.

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Plateau Pressure

The pressure in the lungs when airflow stops during inspiration.

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Peak Inspiratory Pressure (PIP)

The highest pressure during inhalation.

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Tidal Volume (VT)

The volume of air inhaled and exhaled in one breath.

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Assist Mode Ventilation

A ventilation mode where the ventilator assists breathing when needed.

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SIMV with PSV and PEEP

A ventilation mode that allows spontaneous breaths while providing pressure support and continuous positive airway pressure.

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Pressure (cmHâ‚‚O)

Unit used to measure pressure in mechanical ventilation, specifically in a respiratory system, in a healthcare context.

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Flow Rate

Rate of air movement in a mechanical ventilator.

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Volume (cc)

Measure of air inhaled or exhaled during mechanical ventilation.

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PCV Respiratory Rate

The frequency of breaths delivered in Pressure Control Ventilation.

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PCV Inspiratory Time

The duration of each breath's inspiratory phase in Pressure Control Ventilation.

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PCV Peak Pressure

The maximum pressure reached in the lungs during inspiration in Pressure Control Ventilation.

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PCV Pressure Graph

A graph showing pressure changes during a breath in Pressure Control Ventilation.

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PCV Flow Graph

A graph showing flow rate changes during a breath in Pressure Control Ventilation.

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Mechanical Ventilation Parameters

Pressure, volume, flow, and time are key factors in mechanical ventilation, plotted to understand patient status and changes in lung function.

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Waveform Scalars

Variables like flow, volume, and pressure plotted against time in mechanical ventilation, representing changes during breathing.

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Flow-Volume Loop

A graphical representation showing inspiratory and expiratory flow rates against volume, useful for assessing lung function.

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Pressure-Volume Loop

A graphical illustration of inspiratory and expiratory pressure against volume; provides quick insights into shifts in lung function.

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Tidal Volume (VT)

The volume of air exchanged in each breath in mechanical ventilation (e.g., 550 mL).

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Ventilator Waveform

A graphical representation of pressure, flow, and volume changes during mechanical ventilation.

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Effect of Resistance on Waveforms

Higher airway resistance leads to higher peak pressures in the pressure waveform, potentially flattening or slowing the flow.

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Ventilator Settings and Waveforms

Modifying ventilator settings, such as flow rate, will impact the shape of inspiratory and expiratory waveforms.

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Clinical Example of Ventilation

Illustrates the application of mechanical ventilation in a specific patient or disease scenario.

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Cycle Time and Respiratory Rate

The cycle time of mechanical ventilation is inversely related to the respiratory rate, meaning a faster rate corresponds to a shorter cycle time.

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Increased Frequency

Respiratory rate increases, leading to a shorter time between breaths (while inspiratory duration remains the same).

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Decreased Frequency

Respiratory rate decreases, leading to a longer time between breaths (while inspiratory duration remains the same).

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Flow Rate and I:E time

Lowering flow rate results in longer inspiratory times and shorter expiratory times.

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Cycle Time (TCT)

Total time for one complete breath cycle (inspiration & expiration).

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Inspiratory Time

The duration of the inhaling phase of a breath.

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Study Notes

Effect of Decreased Respiratory System Compliance

  • Decreased respiratory system compliance leads to increased plateau pressure, which in turn increases peak inspiratory pressure (PIP)
  • This happens because the plateau pressure calculation divides by a smaller number (lower compliance).
  • If compliance decreases by half (to 25 mL/cm H2O), plateau pressure increases to 22 cm H2O, and PIP increases to 27 cm H2O.

Mechanical Breath Stages

  • A mechanical breath can be understood in six stages:
  • Beginning of inspiration
  • Inspiration
  • End of inspiration
  • Beginning of expiration
  • Expiration
  • End of expiration
  • Components of the breath cycle are also important to understanding the process.

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