chapter 41. quiz 6. Respiratory monitoring: apnea, RR, Tv

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Questions and Answers

What does respiratory inductance plethysmography (RIP) quantify?

  • Changes in blood oxygen levels
  • Changes in the cross-sectional area of the chest wall and abdominal compartments (correct)
  • Changes in lung volume
  • Changes in heart rate

What is the purpose of the two elastic bands in RIP?

  • To monitor oxygen saturation
  • To provide a known gas volume
  • To measure heart rate and blood pressure
  • To produce independent signals representative of the thoracic and abdominal cross-sectional area (correct)

What is an advantage of using RIP?

  • It does not require a facemask, LMA, or ETT (correct)
  • It is only used in pediatric patients
  • It can only be used in adults
  • It requires a facemask, LMA, or ETT

What can RIP guide?

<p>Lung-protective ventilation strategies (D)</p> Signup and view all the answers

When may RIP be particularly useful intraoperatively?

<p>When accurate monitoring of VT is required but not possible with the usual anesthesia machine monitors (C)</p> Signup and view all the answers

What is a limitation of RIP?

<p>It cannot be used during thoracic and abdominal surgery (A)</p> Signup and view all the answers

Which condition is associated with a higher risk of apnea or bradypnea?

<p>Premature birth (A)</p> Signup and view all the answers

What is the primary cause of central apnea?

<p>Failure of the CNS to drive respiration (D)</p> Signup and view all the answers

Which of the following is NOT used as a parameter to detect apnea by current monitors?

<p>Pulse rate (B)</p> Signup and view all the answers

What type of apnea results from upper airway obstruction?

<p>Obstructive apnea (B)</p> Signup and view all the answers

Which factor is NOT commonly associated with a risk of apnea or bradypnea?

<p>Regular exercise (B)</p> Signup and view all the answers

What is measured in impedance pneumography to calculate chest wall expansion?

<p>Changes in electrical conductivity (D)</p> Signup and view all the answers

How many chest electrodes are typically used in impedance pneumography?

<p>2 (D)</p> Signup and view all the answers

What is a limitation of techniques based on chest expansion?

<p>They are not accurate in the presence of movement (B)</p> Signup and view all the answers

What type of sensors are used in inductive plethysmography?

<p>Fiberoptic and resistive strain gauges (B)</p> Signup and view all the answers

Why is electromyographic signal of respiratory muscles not frequently used?

<p>Because of the low signal-to-noise ratio (D)</p> Signup and view all the answers

In what type of monitoring is impedance pneumography implemented?

<p>Home monitoring of neonatal apnea (D)</p> Signup and view all the answers

Which principle is used to detect flow in gas flow methods?

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

What is measured in gas flow methods to detect flow?

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

What is used to assess humidity in exhaled air?

<p>Rapid response hygrometer (A)</p> Signup and view all the answers

Where is the temperature measured in gas flow methods?

<p>Nose or mouth (D)</p> Signup and view all the answers

What is the purpose of measuring temperature in gas flow methods?

<p>To measure gas flow (D)</p> Signup and view all the answers

What is the primary focus of techniques based on gas exchange?

<p>Exhaled CO2 (D)</p> Signup and view all the answers

What is the advantage of using capnography in monitoring respiratory depression?

<p>It allows for early detection of respiratory depression before O2 desaturation (B)</p> Signup and view all the answers

Why may accurate end-tidal CO2 measurements be difficult in mouth breathers?

<p>Due to the nasal cannula's inability to detect oral breathing (B)</p> Signup and view all the answers

What is the limitation of PETCO2 measurements?

<p>It depends on the device used, O2 flow, and minute ventilation (C)</p> Signup and view all the answers

What is the role of pulse oximetry in monitoring apnea/bradypnea?

<p>It adds an additional level of safety combined with primary monitors of ventilation (C)</p> Signup and view all the answers

What is the advantage of using a nasal cannula with an oral guide in mouth breathers?

<p>It improves the accuracy of end-tidal CO2 measurements in mouth breathers (B)</p> Signup and view all the answers

RR measurements based on Techniques based on gas exchange were more accurate than ?

<p>more accurate than those obtained with thoracic impedance tomography (A)</p> Signup and view all the answers

how its possible to maximize the detection of true episodes of apnea in home monitors for neonatal apnea ?

<p>transthoracic impedance and pulse oximetry (B)</p> Signup and view all the answers

Which condition can cause alarms to sound in a patient without apnea during monitoring?

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

Which type of artifacts can lead to the activation failure of alarms in apnea monitoring situations?

<p>Patient movement artifacts (D)</p> Signup and view all the answers

In what situations can impedance pneumographs be subject to artifacts that affect monitoring accuracy?

<p>Cardiac motion (B)</p> Signup and view all the answers

Why are false-positive and false-negative alarms concerning during apnea monitoring?

<p>They can lead to unnecessary interventions (A)</p> Signup and view all the answers

Which combination of monitors has been confirmed to maximize the detection of alveolar hypoventilation?

<p>Capnography and pulse oximetry (D)</p> Signup and view all the answers

What is the primary purpose of continuous electronic monitoring of oxygenation and ventilation?

<p>To monitor all patients, not just those at risk for postoperative respiratory insufficiency (A)</p> Signup and view all the answers

What is the recommended method for continuously monitoring oxygenation in all patients?

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

When is capnography or other monitoring that measures ventilation and airflow indicated?

<p>When supplemental O2 is needed to maintain acceptable O2 saturations (D)</p> Signup and view all the answers

What is the importance of threshold-based alarm limits in continuous electronic monitoring?

<p>To ensure timely detection of respiratory depression (B)</p> Signup and view all the answers

What is the relationship between continuous electronic monitoring and traditional intermittent nursing assessment and vigilance?

<p>Continuous monitoring supplements traditional assessment and vigilance (D)</p> Signup and view all the answers

Which pattern of respiratory depression is characterized by a slow desaturation followed by an abrupt fall in oxygenation?

<p>Hyperventilation compensated respiratory distress (A)</p> Signup and view all the answers

What is a characteristic of the pattern known as progressive unidirectional hypoventilation or CO2 narcosis?

<p>Low respiratory rate (D)</p> Signup and view all the answers

Patients with which condition are observed to have Sentinel rapid airflow/O2 saturation reduction?

<p>Obstructive sleep apnea (D)</p> Signup and view all the answers

In which pattern of respiratory depression is high respiratory rate typical?

<p>Hyperventilation compensated respiratory distress (A)</p> Signup and view all the answers

What is a potential consequence seen in patients experiencing the pattern of hyperventilation compensated respiratory distress?

<p>Gradual desaturation (A)</p> Signup and view all the answers

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