Respiratory Therapy for Premature Infant with IRDS
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Questions and Answers

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

  • Patient's allergies
  • Ventilator alarms (correct)
  • Patient's medical history
  • Ventilator settings
  • Which medication is a potent respiratory depressant and sedative that can be reversed with Narcan?

  • Choral hydrate
  • Morphine sulfate (correct)
  • Versed
  • Pancuronium
  • What is the primary goal of increasing PIP to 25-30 cmH20 in a patient on mechanical ventilation?

  • To decrease PaCO2 (correct)
  • To increase PaO2
  • To reduce respiratory rate
  • To maintain a stable pH
  • 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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