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michaelmorris17 michaelmorris17
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Posts: 544
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6 years ago
A 6'2 male patient is being ventilated in the volume-controlled continuous mandatory ventilation (VC-CMV) mode with a set tidal volume (VT) of 650 mL. There is 40 mL of mechanical dead space. Calculate the final alveolar ventilation.
 
  a. 432 mL
  b. 445 mL
  c. 510 mL
  d. 535 mL



Q. 2  The operational verification procedure (OVP) involves checking the ventilator circuit for leaks. Ventilator settings that could be used to perform this procedure include which of the following?
 
  a. Tidal volume (VT) = 500 mL, Flow rate = 60 L/min, High pressure limit = 50 cm H2O
  b. VT = 1000 mL, Flow rate = 20 L/min, High pressure limit = maximum
  c. VT = 500 mL, Flow rate = 20 L/min, High pressure limit = maximum, Inspiratory pause = 2 seconds
  d. VT = 200 mL, Flow rate = Maximum, High pressure limit = 50 cm H2O, Inspira-tory pause = 1 second



Q. 3  How often should the fractional inspired oxygen (FIO2) of an adult be measured?
 
  a. Twice daily
  b. Continuously
  c. Every patient-ventilator system check
  d. Every other patient-ventilator system check



Q. 4  How long after beginning mechanical ventilation on a patient should an arterial blood gas sample be drawn?
 
  a. 5 minutes
  b. 10 minutes
  c. 15 minutes
  d. 20 minutes
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wrote...
6 years ago
(Answer to Q. 1)  ANS: A
Volume of anatomical dead space (VDanat) = 1 mL/lb ideal body weight (IBW)
IBW = 106 + 6 (ht inches  60); tidal volume (VT)  volume of mechanical dead space (VDmech)  VDanat.

(Answer to Q. 2)  ANS: C
To check for leaks in the ventilator circuit the operator should set the tidal volume to 500 mL, the gas flow low (e.g., 20 L/min), the maximum pressure limit high (e.g., 100-120 cm H2O), and an inspiratory pause of 1-2 seconds.

(Answer to Q. 3)  ANS: C
The fractional inspired oxygen (FIO2) for a ventilated adult should be measured during each pa-tient-ventilator system check. Most ICU ventilators have oxygen analyzers that provide continu-ous monitoring of FIO2.

(Answer to Q. 4)  ANS: C
An arterial blood gas sample should be obtained about 15 minutes following the initiation of mechanical ventilation. This is vital for the evaluation of the effectiveness of ventilation and ox-ygenation.
wrote...
6 years ago
Bravo! This is awesome
wrote...
6 years ago
Glad my efforts were helpful
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