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heyoplshelp heyoplshelp
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Posts: 520
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6 years ago
A physician orders intubation and mechanical ventilation in the continuous mandatory ventilation assist-control mode for a 125-lb adult woman with normal lungs. Which of the following initial settings would you recommend?
 
  Rate VT
  a. 10 breaths/min 550 ml
  b. 14 breaths/min 400 ml
  c. 18 breaths/min 450 ml
  d. 12 breaths/min 470 ml



Q. 2  A physician orders intubation and mechanical ventilation in the synchronized intermittent man-datory ventilation mode for a 160-lb adult man with a history of chronic obstructive pulmonary disease. Which of the following settings would you recommend?
 
  Rate VT
  a. 12 breaths/min 500 ml
  b. 15 breaths/min 550 ml
  c. 20 breaths/min 300 ml
  d. 16 breaths/min 500 ml



Q. 3  A physician orders intubation and mechanical ventilation in the continuous mandatory ventilation mode for a 200-lb predicted body weight (PBW) adult man with acute asthma exacerbation.
 
  Which of the following initial ventilator settings would you recommend?
   Rate VT
  a. 12 breaths/min 550 ml
  b. 11 breaths/min 450 ml
  c. 14 breaths/min 770 ml
  d. 20 breaths/min 550 ml



Q. 4  On some ventilators, which of the following can occur if a trigger setting is set too sensitive on a mechanical ventilator?
 
  a. Autotriggering
  b. Flow dyssynchrony
  c. Barotrauma
  d. Increased workload



Q. 5  On a ventilator that has separate rate and minute ventilation (VE) controls, the rate is set at 13/min and the VE at 11 L/min. Approximately what VT is the patient receiving?
 
  a. 700 ml
  b. 850 ml
  c. 1000 ml
  d. 1200 ml
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Replies
wrote...
6 years ago
(Answer to Q. 1)  ANS: B

(Answer to Q. 2)  ANS: A

(Answer to Q. 3)  ANS: B

(Answer to Q. 4)  ANS: A
Trigger sensitivity for patient-triggered ventilation should be set at the lowest possible level to minimize trigger work while avoiding ventilator autotriggering.

(Answer to Q. 5)  ANS: B
Tidal volume (VT) and rate (f) determine minute ventilation.
heyoplshelp Author
wrote...
6 years ago
Makes tons more sense now!
wrote...
6 years ago
Slight Smile
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