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6 years ago
There is a 3-L/min leak around the nasal prongs during nasal continuous positive airway pressure on the Maquet Servoi Ventilator. This will cause which of the following?
 
  a. Bias flow will drop to 7.5 L/min.
  b. Disconnect alarm will become active.
  c. Flow will automatically increase.
  d. Expiratory sensitivity will decrease.



Q. 2  The range of noninvasive ventilation nasal continuous positive airway pressure on the Maquet Servoi Ventilator is _____ cm H2O.
 
  a. 1 to 10 c. 3 to 25
  b. 2 to 20 d. 4 to 30



Q. 3  What is the minimum ideal body weight for ventilating an infant with a Puritan Bennett 840 with the NeoMode option?
 
  a. 0.5 kg c. 1.5 kg
  b. 1 kg d. 2 kg



Q. 4  Use of the Drger E-4 nebulizer in the Neo setting will do which of the following?
 
  a. Increase the base flow from 6 L/min to 11 L/min
  b. Cause a 6 decrease in the oxygen con-centration in any mode
  c. Divert 6 L/min away from the patient cir-cuit to the nebulizer
  d. Decrease oxygen concentration signifi-cantly with rates greater than 12 breaths/min



Q. 5  Which of the following statements concerning the use of AutoFlow for neonates on the Drger E-4 is true?
 
  a. AutoFlow is an adult mode and should not be used with neonates.
  b. The ventilator's internal flow sensor is al-ways used with neonates on AutoFlow.
  c. Two test breaths determine the appropriate pressure to deliver volume in AutoFlow.
  d. In AutoFlow, the highest pressure to de-liver the volume is the high-pressure limit setting.



Q. 6  While a patient is being ventilated with NeoFlow on a Drger E-4, an audible and visual alarm is active, and all breaths are being time-triggered. What is the most appropriate action for the res-piratory therapist to take?
 
  a. Suction the endo-tracheal tube c. Dry out the flow sensor
  b. Change the venti-lator out d. Switch to Au-toFlow



Q. 7  On a Drger E-4 operating in NeoFlow, which of the following trigger ranges is recommended for neonatal and pediatric ventilation?
 
  a. 0.1 to 0.5 L/min c. 0.5 to 3.5 L/min
  b. 0.3 to 3 L/min d. 1 to 4 L/min
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6 years ago
(Answer to Q. 1)  ANS: C
If a leak occurs around the prongs, the ventilator will automatically and immediately increase the flow available to maintain the pressure.

(Answer to Q. 2)  ANS: B
During nasal continuous positive airway pressure, the ventilator provides enough flow to main-tain the pressure settings of 2 to 20 cm H2O.

(Answer to Q. 3)  ANS: A
Infants weighing 0.5 to 7 kg can be ventilated by using the NeoMode option on the Puritan Bennett 840.

(Answer to Q. 4)  ANS: D
Use of the Drger E-4 nebulizer in the Neo setting increases the base flow from 6 L/min to 9 L/min. Delivered oxygen concentrations decrease slightly from the level set. The amount of de-crease is less than 4 at breath rates greater than 12 per minute. When operating at mandatory breath rates of less than 12 per minute, the nebulizer should not be used because of the potential-ly significant drop in oxygen concentration.

(Answer to Q. 5)  ANS: C
When the flow sensor is attached during AutoFlow in neonates, the unit provides two test breaths, first with a pressure of 5 cm H2O and then with a pressure equal to 75 of that required to deliver the set volume.

(Answer to Q. 6)  ANS: C
If the NeoFlow sensor becomes partially occluded with water (or secretions), it will cease opera-tion and trigger audible and visual alarms. When this occurs, the ventilator will continue to oper-ate in the pressure-control mode.

(Answer to Q. 7)  ANS: B
A trigger range of 0.3 to 3 L/min is recommended for neonatal and pediatric ventilation.
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