Goals of Mechanical Ventilation in Lung Diseases
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Questions and Answers

What is a primary goal of mechanical ventilation?

  • Improve gas exchange (correct)
  • Treat underlying lung diseases
  • Eliminate the need for further medical intervention
  • Reverse all respiratory conditions

    • Which condition is NOT typically treated with mechanical ventilation?

  • Diabetes mellitus (correct)
  • Chronic bronchitis
  • Pulmonary edema
  • Asthma

    • What does mechanical ventilation NOT do for a patient?

  • Treat the underlying pulmonary fibrosis (correct)
  • Improve pulmonary mechanics
  • Relieve respiratory distress
  • Support breathing while recovering

    • In patients recovering from cardiac arrest, mechanical ventilation is indicated to:

    <p>Support breathing until stable</p> Signup and view all the answers

    Which of the following is NOT a goal of mechanical ventilation?

    <p>Treat infections directly</p> Signup and view all the answers

    An increase in respiratory rate above 35 breaths/min indicates what?

    <p>Potential respiratory distress</p> Signup and view all the answers

    What is a key component in the management of symptoms in heart failure according to the context?

    <p>Medication regimen</p> Signup and view all the answers

    Which of the following is NOT a parameter indicative of ventilation issues?

    <p>Respiratory Rate of 15-20</p> Signup and view all the answers

    Which of the following is NOT a common cause of arrhythmias in elderly patients?

    <p>Congestive heart failure</p> Signup and view all the answers

    What is the first step in performing synchronized cardioversion?

    <p>Attach monitor leads to the patient</p> Signup and view all the answers

    Which medication class is commonly used in the treatment of arrhythmias?

    <p>Calcium channel blockers</p> Signup and view all the answers

    During synchronized cardioversion, when should the charge button on the apex paddle be pressed?

    <p>On the count of three</p> Signup and view all the answers

    Which of the following conditions does NOT require correction when treating an arrhythmia?

    <p>Hypothyroidism</p> Signup and view all the answers

    What does it mean for a nurse to be a safe practitioner?

    <p>To wonder about the reasons behind specific care decisions</p> Signup and view all the answers

    Which aspect is NOT part of clinical judgment as defined in the context?

    <p>Deferring all decisions to the expertise of others</p> Signup and view all the answers

    How can a nurse alleviate the fear of patients and families in an overwhelming healthcare system?

    <p>By explaining the system and helping them navigate it</p> Signup and view all the answers

    What is a characteristic of an expert nurse?

    <p>Ability to obtain necessary care through negotiation</p> Signup and view all the answers

    What role does a nurse play in facilitating learning?

    <p>Supporting both informal and formal learning for patients and families</p> Signup and view all the answers

    Which of the following best describes clinical reasoning?

    <p>An ability to apply critical thinking to clinical situations</p> Signup and view all the answers

    What is an implication of having a nurse who understands the healthcare system?

    <p>Patients receive a more empowering and navigable experience</p> Signup and view all the answers

    Why is it important for nurses to question their practices?

    <p>To ensure that care remains current and evidence-based</p> Signup and view all the answers

    What is the primary responsibility of critical care nurses in the Philippines?

    <p>Carrying out interventions to address life-threatening situations</p> Signup and view all the answers

    What educational achievement is necessary for becoming a critical care nurse in the Philippines?

    <p>Graduation with a bachelor's degree in Nursing</p> Signup and view all the answers

    Which regulatory body administers the licensure examination for nurses in the Philippines?

    <p>Professional Regulatory Board of Nursing</p> Signup and view all the answers

    What is the typical patient to nurse ratio in the ICU of Metro Manila tertiary hospitals?

    <p>1:2</p> Signup and view all the answers

    What does the Philippine Nursing Act of 2002 (RA 9173) provide for critical care nurses?

    <p>Framework for specialized nursing programs</p> Signup and view all the answers

    What aspect of care must critical care nurses address according to their role?

    <p>The biological, psychological, cultural, and spiritual needs of patients</p> Signup and view all the answers

    How has the health care system in the Philippines been influenced since 1970?

    <p>By advancements in care and technology and changing care needs</p> Signup and view all the answers

    In critical care nursing, which of the following is essential for practice in complex critical care areas?

    <p>Possession of necessary competencies</p> Signup and view all the answers

    What is the role of an expert nurse in patient and family educational programs?

    <p>To creatively modify or develop educational programs</p> Signup and view all the answers

    How should an expert nurse respond to diversity in patient care?

    <p>By being sensitive to and incorporating diversity into care</p> Signup and view all the answers

    What defines collaboration according to the Synergy Model?

    <p>Working with others to achieve optimal patient and family goals</p> Signup and view all the answers

    Which of the following is NOT a responsibility of an expert nurse in a collaborative environment?

    <p>Dominating conversations to ensure personal ideas are heard</p> Signup and view all the answers

    What role does mechanical ventilation play in patient care?

    <p>To mechanically move air into and out of the lungs</p> Signup and view all the answers

    Which condition is related to the failure of the normal respiratory neuromuscular system?

    <p>Myasthenia Gravis</p> Signup and view all the answers

    How should the delivery of care be tailored by an expert nurse?

    <p>By incorporating personal and cultural values into care</p> Signup and view all the answers

    Which of the following statements accurately describes mechanical ventilation?

    <p>It is used to maintain proper levels of oxygen and carbon dioxide</p> Signup and view all the answers

    Study Notes

    Goals of Mechanical Ventilation

    • Mechanical ventilation acts as a support system, not a cure for obstructive lung diseases like asthma, chronic bronchitis, and emphysema.
    • Provides assistance until the underlying pathological conditions are reversible.
    • Aims to improve gas exchange and relieve respiratory distress.
    • Enhances pulmonary mechanics and permits healing of lungs and airways.
    • Avoids complications associated with respiratory failure.

    Critical Care Nursing Evolution

    • Philippine healthcare system has significantly evolved since 1970, influenced by advanced care technology and practices.
    • Development of specialty practice areas, particularly in critical care, is essential.
    • Critical care nursing involves collaboration and direct patient care in life-threatening situations.
    • Continuous learning and skills development are pivotal for critical care nurses.

    Educational and Professional Requirements for Nurses

    • A bachelor's degree in Nursing is required.
    • Nurses must pass the national licensure exam administered by the PRC-BON.
    • Patient-to-nurse ratio in Metro Manila ICU is typically 1:2, but may vary across hospitals.
    • The Philippine Nursing Act of 2002 guides nursing practice and specialty program development.

    Clinical Judgment and Patient Care

    • Critical principles include clinical reasoning, decision-making, and understanding of patient scenarios.
    • Effective gathering and interpretation of patient data enhance care outcomes.
    • In uncertain situations, utilizing expertise from fellow nurses is common practice.
    • Expert nurses recognize patient problem patterns and can effectively navigate the healthcare system for patients.

    Facilitating Learning and Diversity Response

    • Nurses should facilitate informal and formal learning for patients and families.
    • Expert nurses can creatively adapt educational programs for better understanding and engagement.
    • Response to diversity involves recognizing and respecting patients' cultural, spiritual, and personal values.
    • Tailored care is essential in addressing the unique needs of diverse patient populations.

    Collaboration in Patient Care

    • Defined as promoting synergistic contributions towards realistic patient/family goals.
    • Expert nurses foster participation from team members and exemplify accountability during collaborative discussions.

    Mechanical Ventilation Definition

    • Mechanical ventilation uses a ventilator to move air to maintain adequate oxygen and carbon dioxide levels in the blood.
    • Indications for mechanical ventilation include neuromuscular diseases (e.g., Myasthenia Gravis, Guillain-Barre Syndrome), musculoskeletal abnormalities, and infectious lung diseases (e.g., pneumonia, tuberculosis).

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    Description

    This quiz explores the objectives of mechanical ventilation, particularly in cases of obstructive lung diseases like asthma, chronic bronchitis, and emphysema. It emphasizes that mechanical ventilation supports the patient but does not address the underlying pathology. Understanding these goals is crucial for effective patient management in critical care settings.

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