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jj35 jj35
wrote...
Posts: 546
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6 years ago
The respiratory therapist has determined that a 4.0-mm internal diameter standard endotracheal tube is necessary for the patient. What is the equivalent hi-lo jet tube to be used with a Bunnell Life Pulse High-Frequency Jet Ventilator?
 
  a. 3.0-mm internal diameter hi-lo jet tube
  b. 3.5-mm internal diameter hi-lo jet tube
  c. 4.0-mm internal diameter hi-lo jet tube
  d. 4.5-mm internal diameter hi-lo jet tube



Q. 2  The cannot meet PIP alarm is active on a Bunnell Life Pulse High-Frequency Jet Ventilator. The respiratory therapist should do which of the following?
 
  1. Check the humidifier cartridge for a leak.
  2. Check the jet tube connection to the circuit.
  3. Look for kinks in the jet tube connections.
  4. Check the dump valve for proper function.
  a. 2 c. 3 and 4
  b. 1 and 2 d. 1, 2, and 3



Q. 3  The Bunnell Life Pulse High-Frequency Jet Ventilator is being set up to ventilate an infant who has already been intubated with a regular endotracheal tube.
 
  A 2.5-mm internal diameter Life Port adapter is being used. The conventional peak inspiratory pressure is set at 26 cm H2O. The high-frequency jet ventilation peak inspiratory pressure should be set at a pressure of _____ cm H2O.
  a. 23.4 c. 26
  b. 24.7 d. 28



Q. 4  The Bunnell Life Pulse High-Frequency Jet Ventilator is being set up to ventilate an infant who has a regular endotracheal tube with a 3.5-mm internal diameter Life Port adapter.
 
  Conventional peak inspiratory pressure is set at 30 cm H2O. The high-frequency jet ventilation peak inspiratory pressure should be set at a pressure of _____ cm H2O.
  a. 25.5 c. 28.5
  b. 27.0 d. 30.0



Q. 5  The Bunnell Life Pulse High Frequency Jet Ventilator creates high-frequency jet ventilation by using which of the following mechanisms?
 
  a. Rotary piston c. Spinning ball
  b. Pinch valve d. Flow interrupter



Q. 6  Which operating mode on the Drger Babylog 8000 allows the clinician to adjust the flow during the expiratory phase to match the patient's needs during mandatory and spontaneous breaths?
 
  a. Assist/control
  b. Intermittent mandatory ventilation
  c. Variable inspiratory, variable expiratory
  d. Continuous positive airway pressure
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Replies
wrote...
6 years ago
(Answer to Q. 1)  ANS: B
The external diameter of a hi-lo jet tube is approximately equal to the external diameter of a standard endotracheal tube that is a half-size larger. Therefore, hi-lo tube size = standard endo-tracheal tube size  0.5 mm; 4.0 mm is standard endotracheal tube size, so 4.0 mm  0.5 = 3.5-mm hi-lo tube size.

(Answer to Q. 2)  ANS: D
The cannot meet PIP alarm can be a result of a leak in the humidifier cartridge/patient circuit; an incomplete connection of the circuit to the jet tube; a defective or damaged jet tube (e.g., a kinked tube, improper positioning, occlusion, leak); the present settings being insufficient to ven-tilate larger patients; a patient fighting the Life Pulse; or an ineffective pinch valve opening ac-tion resulting in higher servo pressures being necessary to meet current settings.

(Answer to Q. 3)  ANS: C
When using a Life Port adapter with a 2.5-mm internal diameter, the clinician should set up the initial high-frequency jet ventilation peak inspiratory pressure equal to the conventional peak in-spiratory pressure. Therefore, 26 cm H2O should be the setting.

(Answer to Q. 4)  ANS: B
When a LifePort adapter larger than 2.5-mm internal diameter is used, the clinician should set up the initial high-frequency jet ventilation peak inspiratory pressure at 90 of the conventional peak inspiratory pressure. Therefore, 90 of 30 cm H2O is 27 cm H2O.

(Answer to Q. 5)  ANS: B
An electromagnetic solenoid activates the pinch valve, which breaks the flow of pressurized gas into small bursts with the pinch-and-release action of the silicone tube of the patient breathing circuit.

(Answer to Q. 6)  ANS: C
The variable inspiratory, variable expiratory operating mode allows the clinician to adjust the flow during the expiratory phase to match the patient's needs during mandatory and spontaneous breaths.
jj35 Author
wrote...
6 years ago
Just confirmed the same answer from my friend, thanks
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