RSPT 2414 Mechanical ventilation

1. RSPT 2414 Mechanical ventilation Review Unit 3 classifications By Elizabeth Kelley Buzbee AAS, RRT-NPS

2. Question • Your patient is on a pressure control ventilation [PC]. This means: • The volume is constant but PIP and flows can vary with patient time constants • The PIP is constant, but volumes and flows can vary based on patient’s time constants • The flow and the VT are constant but PIP will vary based on patient’s Time constants

3. Answer • Your patient is on a pressure control ventilation [PC]. This means: • The volume is constant but PIP and flows can vary with patient time constants • The PIP is constant, but volumes and flows can vary based on patient’s time constants • The flow and the VT are constant but PIP will vary based on patient’s Time constants

4. Question • Your patient is on a volume control ventilation [VC]. This means: • The volume is constant but PIP and flows can vary with patient time constants • The PIP is constant, but volumes and flows can vary based on patient’s time constants • The flow and the VT are constant but PIP will vary based on patient’s Time constants

5. Answer • Your patient is on a volume control ventilation [VC]. This means: • The volume is constant but PIP and flows can vary with patient time constants • The PIP is constant, but volumes and flows can vary based on patient’s time constants • The flow and the VT are constant but PIP will vary based on patient’s Time constants

6. Question • A patient who is on pressure control ventilation will need the doctor to order what parameters to deliver a VE? • Respiratory frequency [f] and VT • Respiratory frequency [f] and PIP • Inspiratory time and flow rate [constant flow pattern]

7. Answer • A patient who is on pressure control ventilation will need the doctor to order what parameters to deliver a VE. • Respiratory frequency [f] and VT • Respiratory frequency [f] and PIP • Inspiratory time and flow rate [constant flow pattern]

8. Question • Your patient is on a mechanical ventilator that is gas powered. This means that the ventilator is --- powered. • Electrically powered • Battery powered • Pneumatically powered

9. answer • Your patient is on a mechanical ventilator that is gas powered. This means that the ventilator is --- powered. • Electrically powered • Battery powered • Pneumatically powered

10. Question • Your patient is on volume controlled ventilation. His average PIP is 20. Where do we set the high and low pressure alarms? • At 20 seconds • At 45 and 15 • At 1.O LPM

11. answer • Your patient is on volume controlled ventilation. His average PIP is 20. Where do we set the high and low pressure alarms? • At 20 seconds • At 45 and 15 • At 1.O LPM

12. question • Your patient is resting quietly on a volume controlled ventilator. His set respiratory f is 10 BPM and his total respiratory f is 10 BPM. You could assume that the phase variable that triggers each breath is: • Flow • Volume • Pressure • time

13. Answer • Your patient is resting quietly on a volume controlled ventilator. His set respiratory f is 10 BPM and his total respiratory f is 10 BPM. You could assume that the phase variable that triggers each breath is: • Flow • Volume • Pressure • time

14. Question • Your patient is on a volume controlled ventilator. His set respiratory f is 10 BPM and his total respiratory f is 15 BPM. You could assume that the phase variable that triggers many breathes is: • patient • manually • time

15. answer • Your patient is on a volume controlled ventilator. His set respiratory f is 10 BPM and his total respiratory f is 15 BPM. You could assume that the phase variable that triggers many breathes is: • patient • manually • time

16. Question • You need to hyper inflate prior to suctioning, so you push the manual breath button. This is an example of a breath that is: • Time triggered • Pressure triggered • Volume triggered • Manually triggered

17. answer • You need to hyper inflate prior to suctioning, so you push the manual breath button. This is an example of a breath that is: • Time triggered • Pressure triggered • Volume triggered • Manually triggered

18. question • Your patient is on volume controlled ventilation. The PIP rises to 35 cmH20 and then the pressure drops to 5 cmH20 before rising again to the PIP at the next breath. this second pressure is called: • CPAP 5 • PEEP 5 • Pressure limiting at 5

19. answer • Your patient is on volume controlled ventilation. The PIP rises to 35 cmH20 and then the pressure drops to 5 cmH20 before rising again to the PIP at the next breath. this second pressure is called: • CPAP 5 • PEEP 5 • Pressure limiting at 5

20. question • Your ventilator electrical plug is pulled out by the cleaning lady. What do you expect to happen? • Loss of power alarm goes off • Loss of pressure alarm goes off • Disconnect alarm goes off

21. answer • Your ventilator electrical plug is pulled out by the cleaning lady. What do you expect to happen? • Loss of power alarm goes off • Loss of pressure alarm goes off • Disconnect alarm goes off

22. question • In the event of a loss of electrical power, once the appropriate alarm goes off, what do we expect to happen next? • The battery will start working to keep the ventilator going • The high pressure alarms will go off • If the ventilator is plugged into emergency power source • Both 1 and 3

23. answer • In the event of a loss of electrical power, once the appropriate alarm goes off, what do we expect to happen next? • The battery will start working to keep the ventilator going • The high pressure alarms will go off • If the ventilator is plugged into emergency power source • Both 1 and 3

24. question • Your patient is on pressure control ventilation and the high pressure alarm goes off. What happens? • It will pressure cycle off • The breath will continue at that pressure till it is time cycled off

25. Answer • Your patient is on pressure control ventilation and the high pressure alarm goes off. What happens? • It will pressure cycle off • The breath will continue at that pressure till it is time cycled off

26. question • Your patient is on a volume controlled ventilator. His set respiratory f is 10 BPM and his total respiratory f is 15 BPM. You could assume that the phase variable that triggers many breathes is: • patient • manually • time

27. answer • Your patient is on a volume controlled ventilator. His set respiratory f is 10 BPM and his total respiratory f is 15 BPM. You could assume that the phase variable that triggers many breathes is: • patient • manually • time

28. question • Your patient is on pressure controlled ventilation and you see that the preset PIP is 35 cmH20. when the patient reaches this PIP, you will see what happen? • The breath will stop immediately and high pressure alarms sounds • Inspiration will continue at a pressure of 35 until the inspiratory time is completed

29. answer • Your patient is on pressure controlled ventilation and you see that the preset PIP is 35 cmH20. when the patient reaches this PIP, you will see what happen? • The breath will stop immediately and high pressure alarms sounds • Inspiration will continue at a pressure of 35 until the inspiratory time is completed

30. question • Your patient is on volume controlled ventilation; when the PIP reaches the high pressure alarm at 45 cmH20, you will see what happen? • The breath will stop immediately and high pressure alarms sounds • Inspiration will continue at a pressure of 25 until the inspiratory time is completed

31. answer • Your patient is on volume controlled ventilation; when the PIP reaches the high pressure alarm at 45 cmH20, you will see what happen? • The breath will stop immediately and high pressure alarms sounds • Inspiration will continue at a pressure of 25 until the inspiratory time is completed

32. question • When the breath is ended by the high pressure alarm, we say that inspiration was: • Pressure limited • Pressure cycled • Time cycled

33. answer • When the breath on PC or VC is ended by the high pressure alarm, we say that inspiration was: • Pressure limited • Pressure cycled • Time cycled

34. question • When the breath is ended when the patient’s preset VT of 700 is reached we stay that inspiration was: • Time cycled • Pressure cycled • Volume limited • Volume cycled

35. Answer • When the breath is ended when the patient’s preset VT of .700 Liters is reached we stay that inspiration was: • Time cycled • Pressure cycled • Volume limited • Volume cycled

36. question • When you see that the patient’s peak flow rate is set at 60 LPM and in a constant flow we see that the flow is always 60 LPM, we can say that this inspiration is: • Flow limited • Flow cycled

37. answer • When you see that the patient’s peak flow rate is set at 60 LPM; and in a constant flow we see that the flow is always 60 LPM, we can say that this inspiration is: • Flow limited • Flow cycled

38. question • When we have a volume controlled volume cycled ventilator, we expect that : • The PIP will be exactly the same for every breath • The set VT and the return VT will be very close together

39. answer • When we have a volume controlled volume cycled ventilator, we expect that : • The PIP will be exactly the same for every breath • The set VT and the return VT will be very close together

40. question • Your patient is on volume controlled ventilation and during a inspiratory hold we would be seeing an example of : • Flow limit • Pressure limit • Volume limit • Time limit

41. answer • Your patient is on volume controlled ventilation and during an inspiratory hold we would be seeing an example of : • Flow limit • Pressure limit • Volume limit • Time limit

42. question • When you see that the patient’s peak flow rate is set at 55 LPM; in a descending flow pattern that goes all the way to zero and we see that the flow never exceeds 60 LPM, we can say that this inspiration is: • Flow limited • Flow cycled

43. answer • When you see that the patient’s peak flow rate is set at 55 LPM; in a descending flow pattern that goes all the way to zero and we see that the flow never exceeds 60 LPM, we can say that this inspiration is: • Flow limited • Flow cycled

44. question • Your patient is on Assist/control ventilation and after the PEEP is increased you notice that the patient cannot trigger the ventilator. This implies that this patient is on: • Time triggering • Flow triggering • Pressure triggering

45. answer • Your patient is on Assist/control ventilation and after the PEEP is increased you notice that the patient cannot trigger the ventilator. This implies that this patient is on: • Time triggering • Flow triggering • Pressure triggering

46. question • Your patient’s average PIP is 34 cmH20. • Where do you set the alarm limits for this parameter? • 35 and 33 • 32-36 • 24 and 44 • 20 seconds

47. answer • Your patient’s average PIP is 34 cmH20. • Where do you set the alarm limits for this parameter? • 35 and 33 • 32-36 • 24 and 44 • 20 seconds

48. question • Your patient is on CPAP. His RR is 12 BPM and his average VT is .60Liters. Where do you set the VE alarm high and low limits? • 500 ml or .5 liters • 9.2 and 5.2 LPM • 2 and 22

49. answer • Your patient is on CPAP. His RR is 12 BPM and his average VT is .60Liters. Where do you set the VE alarm high and low limits? • 500 ml or .5 liters • 9.2 and 5.2 LPM • 2 and 22

50. question • Your patient is on pressure control ventilation with a PIP of 24 and a PEEP of 7. where do you set the high pressure alarm? • At 4 • At 44