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Respiratory Care in ARDS and COPD Patients

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Respiratory Care in ARDS and COPD Patients

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Questions and Answers

What does an increase in both PIP and Pplat suggest?

Decreased compliance of the respiratory system.

What does elevated PIP with unchanged Pplat indicate?

Increased airway resistance in the lungs or ventilator circuit.

What strategies are used to manage intubated patients with COPD?

Improving gas exchange while minimizing iPEEP, using bronchodilators, corticosteroids, and ensuring adequate expiratory time.

What is permissive hypercapnia?

Deliberately reducing minute ventilation to minimize barotrauma while maintaining adequate oxygenation. Signup and view all the answers

What is the recommended initial I/E ratio for COPD patients?

1:4. Signup and view all the answers

What is the role of applied PEEP in COPD patients?

It can be set initially at 5 cm H2O and may be increased to match iPEEP in cases of ineffective triggering. Signup and view all the answers

What are the management principles for ventilating acute asthmatics?

Focus on low respiratory rates, maximizing expiratory time, and using low PEEP. Signup and view all the answers

What is the recommended tidal volume for patients with ARDS?

4 to 6 mL/kg based on ideal body weight (IBW). Signup and view all the answers

What is the benefit of low tidal volume ventilation in ARDS patients?

It confers a mortality benefit and reduces the risk of ventilator-induced lung injury (VILI). Signup and view all the answers

What is the maximum safe end-inspiratory alveolar pressure?

30 to 32 cm H2O. Signup and view all the answers

What is the role of NPPV in patients with COPD and ACPE?

It can prevent intubation, decrease ICU admissions, and reduce mortality. Signup and view all the answers

What is the recommended tidal volume for patients at risk for ARDS?

6 to 8 mL/kg IBW. Signup and view all the answers

Study Notes

Maximum Safe End-Inspiratory Alveolar Pressure

30 to 32 cm H2O

Role of NPPV in COPD and ACPE Patients

It can prevent intubation, decrease ICU admissions, and reduce mortality.

Recommended Tidal Volume for ARDS Patients

6 to 8 mL/kg IBW

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Description

Test your knowledge on respiratory care guidelines for patients with ARDS and COPD. This quiz covers key aspects such as safe inspiratory pressures, the role of NPPV, and recommended tidal volumes. Ideal for medical professionals and students alike.