Mechanical Ventilation - Mastering Tidal Volumes and Peak Flow Rates

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Questions and Answers

Which of the following is a purpose of mechanical ventilation?

  • To treat neuromuscular diseases such as Myasthenia Gravis
  • To deliver negative or positive pressure to the lungs
  • To decrease the work of breathing and improve patient's comfort
  • To maintain or improve ventilation and tissue oxygenation (correct)

What are the indications for mechanical ventilation?

  • Musculoskeletal abnormalities such as chest wall trauma
  • Abnormalities of pulmonary gas exchange (correct)
  • Acute respiratory failure due to infectious diseases of the lung
  • Patients who have received general anesthesia

Which parameters are considered when determining the need for ventilatory support?

  • Pulmonary function studies, normal range
  • Respiratory rate, tidal volume, vital capacity
  • Arterial blood gases, pH, PaO2, PaCO2 (correct)
  • Maximum Inspiratory Force, ventilation indicated

Which method of cycling is the most common form of ventilator cycling used in adult medicine?

<p>Volume-cycled ventilation (A)</p> Signup and view all the answers

What is the main indication for mechanical ventilation?

<p>To sustain life (D)</p> Signup and view all the answers

What is the initial mode of ventilation recommended when starting positive-pressure ventilation with a volumecycled ventilator?

<p>Assist-control mode (D)</p> Signup and view all the answers

What is the trend of these values that should influence clinical judgment when considering starting mechanical ventilation?

<p>Increasing severity of illness (D)</p> Signup and view all the answers

Which type of ventilator delivers a selected gas pressure to the patient early in inspiration, and sustains the pressure throughout the inspiratory phase?

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

Which factor terminates the inspiratory cycle in a volume-cycled ventilator?

<p>Preset tidal volume (B)</p> Signup and view all the answers

Which type of ventilator would be used to achieve lower peak ventilator pressures?

<p>High-Frequency Ventilator (D)</p> Signup and view all the answers

Which mode of ventilation reduces the work of breathing to the amount of inspiration needed to trigger the machine?

<p>Assist-control mode (A)</p> Signup and view all the answers

Which of the following is a category of ventilator alarms?

<p>High-pressure and low-pressure alarms (B)</p> Signup and view all the answers

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

<p>Failure of alarms or ventilator (C)</p> Signup and view all the answers

Which physiological complication can occur due to fluid overload with humidified air?

<p>Fluid overload (A)</p> Signup and view all the answers

Which of the following is the formula for calculating minute ventilation (VE)?

<p>VE = VT x F (C)</p> Signup and view all the answers

What is the usual rate of sighs per hour?

<p>4 to 8 (D)</p> Signup and view all the answers

What is the recommended range for peak airway pressure in adults?

<p>20 to 30 cmH2O (C)</p> Signup and view all the answers

What is the most common setting for pressure sensitivity on a ventilator?

<p>-1 to -2 cm H2O (A)</p> Signup and view all the answers

Which mode of mechanical ventilation allows the patient to initiate breaths at a higher rate than the preset number of breaths/minute?

<p>Assist-control (A/C) (C)</p> Signup and view all the answers

In which mode of mechanical ventilation does the ventilator provide a pre-set tidal volume at a pre-set rate, and the patient can breathe spontaneously at his own tidal volume and rate with no assistance from the ventilator?

<p>Synchronized intermittent mandatory ventilation (SIMV) (B)</p> Signup and view all the answers

Which mode of mechanical ventilation is used when compliance is decreased and the risk of barotrauma is high?

<p>Pressure-controlled ventilation (PCV) (A)</p> Signup and view all the answers

Which mode of mechanical ventilation completely provides ventilation to the patient with a preset tidal volume, respiratory rate, and oxygen concentration, and the patient does not breathe spontaneously?

<p>Control Mode (CM) Continuous Mandatory Ventilation (CMV) (A)</p> Signup and view all the answers

Which mode of ventilation is primarily used for weaning from mechanical ventilation?

<p>Pressure Support Ventilation (PSV) (B)</p> Signup and view all the answers

What is the range of the percent of oxygen concentration that a patient can receive from the ventilator?

<p>81% to 100% (C)</p> Signup and view all the answers

What is the usual range of tidal volume selected for a patient on a ventilator?

<p>5 to 15 ml/kg body weight (D)</p> Signup and view all the answers

What are the signs and symptoms of oxygen toxicity?

<p>1- Flushed face, 2- Dry cough, 3- Dyspnea, 4- Chest pain, 5- Tightness of chest, 6- Sore throat (C)</p> Signup and view all the answers

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