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13 Cards in this Set
- Front
- Back
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Non invasive ventilation includes all of the following EXCEPT one. Which of the methods listed are not considered noninvasive ventilation?
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positive pressure ventilaton via an endotracheal tube
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The following statements are true regarding noninvasive positive pressure ventilation (NPPV) !)NPPV provides positive pressuere through the upper airway via a mask or some other noninvasive interface II) NPPV consists of positive pressure applied intermittently with inspiration vaving a higher pressure than expiration III)NPPV may be used to treat both acute and chronic respiratory failure IV) NPPV may be used to provide around the clock, 24 hr, ventilatory support.
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All of them
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Advantages of NPPV include which of the following: I)greater flexibility in initiating & removing mechanical ventilation II)protecting the upper airway III) avoids trauma associated with intubation IV)preserves the ability to communicate
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I) II) & IV)
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Disorders in which NPPV by nasal or facial mask may be of benefit include: I)Immunocompromised states II)Hypoxemic Respiratory Failure III)Acute pulmonary edema due to MI IV)Acute exacerbation of COPD
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I) II) &IV) (III is an exclusionary criteria)
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NPPV should Not be attempted if the following conditions are present: A)impaired cough or ability to swallow II)hemodynamic instability III)apnea IV)paradoxical breathing.
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1,2,3,4
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Which of the following are true regarding the proper fit for a nasal mask: A)the fit should not pinch the nose on the side B)the most common error is to pick a mask that is too small C)the lower part of the mask should fit just above the upper lip D)the top of the mask should be palaced just above the junction of the nasal bone and the cartilage
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A) B) & D)
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Foam bridges that attach to the end of the mask and rest on the forehead help reduce pressure on the bridget of the nose (T/F)
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True
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Advantages of the nasal mask include the following: 1)minimum dead space 2)easoer secretion clearance 3)easier speech 4)greater protection of the airway
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1,2,3,and 4
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A full mask surrounds the nose and mouth and rests just above the lower lip(T/F)
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false
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You have taken over care of a pt. On BiPAP with an IPAP of 12 and an Epap of 5 and an Fi02 of .60. Exhaled VT= 440, RR=12. ABG results are pH 7.22+PaC02 166, HCO3 25 N interpret the ABG
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Respiratory Acidosis (on to much o2)
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You have taken over care of a pt. On BiPAP with an IPAP of 12 and an Epap of 5 and an Fi02 of .60. Exhaled VT= 440, RR=12. ABG results are pH 7.22+PaC02 166, HCO3 25 N interpret the ABG Caluculate Pressure Support
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7 (PS=IPAP-EPAP...12-5)
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You have taken over care of a pt. On BiPAP with an IPAP of 12 and an Epap of 5 and an Fi02 of .60. Exhaled VT= 440, RR=12. ABG results are pH 7.22+PaC02 166, HCO3 25 N interpret the ABG Calculate a desired VE with a target PaCO2 of 41
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P,V,=P2V2 5.2 x 5 = 41(x) x=5.2x54/41 |
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You have taken over care of a pt. On BiPAP with an IPAP of 12 and an Epap of 5 and an Fi02 of .60. Exhaled VT= 440, RR=12. ABG results are pH 7.22+PaC02 166, HCO3 25 N interpret the ABG Calculate a new FiO2 with a target Pa02 of 90
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2 33
PaO2(1)= PaO2(2) FIO2 (1)= FIO2 (2) PaO2 166=PaO2 41 166/60= PaO2 90/? 2.7666= 90/? ?=90/2.7666 ?=32.53 |
