Respiratory Therapy for Premature Infant with IRDS

Respiratory Therapy for Premature Infant with IRDS

Created by
@VeritablePegasus

Questions and Answers

What parameter should be checked before giving sedation to a patient on mechanical ventilation?

Ventilator alarms

Which medication is a potent respiratory depressant and sedative that can be reversed with Narcan?

Morphine sulfate

What is the primary goal of increasing PIP to 25-30 cmH20 in a patient on mechanical ventilation?

To decrease PaCO2

When weaning an infant from mechanical ventilation, what mode of ventilation should be used when spontaneous respirations are present?

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

What is the maximum increase in PEEP recommended to improve oxygenation in a patient on mechanical ventilation?

<p>10 cmH20</p> Signup and view all the answers

Which medication is commonly used as a neuromuscular blocker in mechanical ventilation and can be reversed with Neostigmine?

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

What is the recommended change in PIP when lung compliance increases and ABG's improve?

<p>Decrease by 1-2 cmH20 to less than 20 cmH20</p> Signup and view all the answers

What is the primary goal of CPAP therapy?

<p>To improve oxygenation</p> Signup and view all the answers

What is a potential complication of CPAP therapy?

<p>Air trapping</p> Signup and view all the answers

What is the recommended FIO2 level when lung compliance increases and ABG's improve?

<p>Decrease by 1-2% to 40%</p> Signup and view all the answers

What is an indication for placing an infant on nasal CPAP?

<p>To improve oxygenation</p> Signup and view all the answers

What is the recommended range for CPAP administration?

<p>2-5 cmH20</p> Signup and view all the answers

What is the recommended range for Mean Airway Pressure (MAP)?

<p>10-14 cmH20</p> Signup and view all the answers

What is the effect of increasing Mean Airway Pressure (MAP)?

<p>Increased oxygenation</p> Signup and view all the answers

What is the indication for PEEP adjustment?

<p>PaO2 &lt; 50 torr on FIO2 &gt;.60</p> Signup and view all the answers

What is the consequence of not increasing PIP with increasing PEEP in Pressure Limited Ventilation?

<p>Increased PCO2</p> Signup and view all the answers

Why is PEEP > 10 cmH20 poorly tolerated?

<p>Due to decreased venous return and hyperinflation</p> Signup and view all the answers

What would be the next course of action for an infant with decreased expiratory tidal volumes, good chest expansion, and unchanged SaO2?

<p>Check for a kinked or obstructed tube</p> Signup and view all the answers

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