Mastering Artificial Airways

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35 Questions

Which type of airway prevents the tongue from obstructing the upper airway?

Oropharyngeal airway

What is the recommended time limit for intubation attempts?

30 seconds

Which of the following is an indication for suctioning?

Decreased tidal volume

What is the purpose of positive end-expiratory pressure (PEEP) in mechanical ventilation?

To improve oxygenation

What is the recommended peak pressure limit during mechanical ventilation?

30 cmH2O

What is the main advantage of noninvasive mechanical ventilation?

No sedation required

What is a potential disadvantage of noninvasive mechanical ventilation?

Significant drying of oral mucosa

Which of the following is a contraindication for noninvasive mechanical ventilation?

Hemodynamic instability

What is the purpose of weaning from ventilator support?

To remove the endotracheal tube

Which of the following is a disadvantage of noninvasive mechanical ventilation?

Recent upper airway surgery

What is the first step in the weaning process?

Intubation

Which of the following is a contraindication for noninvasive mechanical ventilation?

Apnea

What is a disadvantage of noninvasive mechanical ventilation?

Uncooperativeness

What is the purpose of positive pressure/ventilator therapy?

To provide mechanical ventilation

What is the final step in the weaning process?

Extubation

Which of the following is a readiness criteria for initiating noninvasive mechanical ventilation?

Oxygen saturation greater than 90%

What is a potential contraindication for noninvasive mechanical ventilation?

Open abdomen

Which of the following is a sign of respiratory muscle fatigue?

Intercostal retractions

What is the purpose of a bag/valve mask at the bedside?

To provide mechanical ventilation

Which of the following is a contraindication for noninvasive mechanical ventilation?

Glasgow coma scale of less than 8

What is a potential contraindication for spontaneous breathing trials (SBT)?

Low PaO2/FiO2 ratio

What is the recommended FiO2 (Fraction of Inspired Oxygen) limit for initiating noninvasive mechanical ventilation?

Less than 40%

What is a potential contraindication for noninvasive mechanical ventilation?

Active ischemia

What is a potential contraindication for noninvasive mechanical ventilation?

Normal management of pain/anxiety/agitation

What is a potential contraindication for noninvasive mechanical ventilation?

Normal PaO2/FiO2 ratio

Which mode of ventilation provides continuous pressure support and may increase the functional residual capacity of the lungs?

Continuous Positive Airway Pressure (CPAP) Mode

What is the potential risk of using high PEEP in Continuous Positive Airway Pressure (CPAP) Mode?

Increased risk of left ventricular dysfunction upon extubation

Which mode of ventilation is similar to Pressure Support Ventilation (PSV), but the ventilator automates the pressure support?

Automatic Tube Compensation

Which mode of ventilation increases the pressure support if the minute volume drops or respirations increase during the weaning process?

Automated Weaning

What is the goal respiratory rate during the weaning process in Pressure Support Ventilation (PSV) or Continuous Positive Airway Pressure (CPAP) Mode?

Less than 35 breaths per minute

What is a sign or symptom of early failure during the weaning process?

Tachypnea

What is the recommended observation period for signs and symptoms of early failure after transferring a patient to Pressure Support Ventilation (PSV) or Continuous Positive Airway Pressure (CPAP) Mode during the weaning process?

30-60 minutes

What is the recommended initial drive pressure in Pressure Support Ventilation (PSV) during the weaning process?

5-8 cmH20

What is a potential indication for extubation?

Mental status alert and cooperative

What should be on hold for several hours prior to extubation?

NG tube/OGT feedings

Test your knowledge on artificial airways and intubation procedures. Learn about pharyngeal airways, positioning, preoxygenation, and more. Explore the essentials of this vital medical procedure.

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