The therapist was titrating PEEP levels to maintain an SaO2 of 85% and found that 13 cm H2O were required to achieve this goal. What should be the most important concern with this level of PEEP?

A) Risk of pneumothorax B) Decreased cardiac output C) Auto-PEEP D) Overdistention A) Risk of pneumothorax B) Decreased cardiac output C) Auto-PEEP D) Overdistention B

On the basis of the Berlin definition of Acute Respiratory Distress Syndrome (ARDS), the definition of moderate acute respiratory distress syndrome comprises which of the following components? I. PaO2/FiO2 $\le$ 300 mm Hg II. Onset of respiratory symptoms within 1 week of clinical insult III. Pulmonary capillary wedge pressure greater than 18 mm Hg IV. Chest imaging findings of new infiltrate consistent with acute pulmonary parenchymal disease

A) I and II only B) I and III only C) II and IV only D) I, II, and IV only A) I and II only B) I and III only C) II and IV only D) I, II, and IV only

What level of FiO2 should the therapist avoid using long term in patients with ARDS?

A) 0.40 B) 0.50 C) 0.60 D) Any level above 0.30 A) 0.40 B) 0.50 C) 0.60 D) Any level above 0.30

A therapist is evaluating the progress of a patient with ARDS. The arterial blood gas reveals a PaO2 of 55 mm Hg and a PaCO2 of 65 mm Hg. The PEEP is set at 12 cm H2O, and the mean airway pressure is 18 on an FiO2 of 0.60. What is the OI in this patient?

A) 20.7 B) 13.1 C) 1.31 D) 200 A) 20.7 B) 13.1 C) 1.31 D) 200

Exam 29: Acute Respiratory Distress Syndrome

Explore all topics

The therapist was titrating PEEP levels to maintain an SaO₂ of 85% and found that 13 cm H₂O were required to achieve this goal. What should be the most important concern with this level of PEEP?

Free

(Multiple Choice)

4.8/5

(77)

Question 1

Correct Answer:

Verified

Which of the following indirect insults can cause ARDS?

Free

(Multiple Choice)

4.9/5

(97)

Question 2

Correct Answer:

Verified

Which of the following ventilatory strategies is appropriate when mechanically ventilating a patient with ARDS?

Free

(Multiple Choice)

4.7/5

(72)

Question 3

Correct Answer:

Verified

The therapist is auscultating a 2-year-old patient with ARDS. Which of the following is a common auscultatory finding in ARDS?

(Multiple Choice)

4.9/5

(82)

Question 4

What are some of the physical signs of respiratory failure among children? I. Head bobbing II. Nasal flaring III. Crying IV. Grunting

(Multiple Choice)

4.8/5

(80)

Question 5

Which of the following interventions should the therapist implement to decrease mortality in patients with ARDS?

(Multiple Choice)

4.7/5

(89)

Question 6

Which of the following pathophysiologic changes seen in ARDS is responsible for the decrease in available surface area for gas exchange?

(Multiple Choice)

4.9/5

(77)

Question 7

What level of Pplateau should the therapist target to improve outcomes in patients with ARDS?

(Multiple Choice)

4.9/5

(77)

Question 8

On the basis of the Berlin definition of Acute Respiratory Distress Syndrome (ARDS), the definition of moderate acute respiratory distress syndrome comprises which of the following components? I. PaO₂/FiO₂ $\le$ 300 mm Hg II. Onset of respiratory symptoms within 1 week of clinical insult III. Pulmonary capillary wedge pressure greater than 18 mm Hg IV. Chest imaging findings of new infiltrate consistent with acute pulmonary parenchymal disease

(Multiple Choice)

4.8/5

(84)

Question 9

Which of the following clinical signs characterizes the onset of the third stage of ARDS?

(Multiple Choice)

4.9/5

(94)

Question 10

During the implementation of permissive hypercapnia, which of the following concepts is the most critical to prevent complications of this strategy?

(Multiple Choice)

4.7/5

(85)

Question 11

Radiographically, what features are typically seen in ARDS?

(Multiple Choice)

4.7/5

(78)

Question 12

What level of FiO₂ should the therapist avoid using long term in patients with ARDS?

(Multiple Choice)

4.9/5

(90)

Question 13

How should the therapist use the point on the pressure-volume loop where the shape changes from concave to exponential?

(Multiple Choice)

4.9/5

(92)

Question 14

A therapist is evaluating the progress of a patient with ARDS. The arterial blood gas reveals a PaO₂ of 55 mm Hg and a PaCO₂ of 65 mm Hg. The PEEP is set at 12 cm H₂O, and the mean airway pressure is 18 on an FiO₂ of 0.60. What is the OI in this patient?

(Multiple Choice)

4.7/5

(80)

Question 15

What pathophysiologic change accounts for the alteration of the hysteresis curve during ARDS?

(Multiple Choice)

4.9/5

(92)

Question 16

Which of the following pathophysiologic conditions contribute to the decreased pulmonary compliance associated with ARDS?

(Multiple Choice)

5.0/5

(87)

Question 17

Which of the following regions of the lungs is most likely to be unaffected by pathophysiology associated with ARDS?

(Multiple Choice)

4.9/5

(104)

Question 18

What acid-base abnormality does a patient generally display when experiencing stage 2 of ARDS?

(Multiple Choice)

4.7/5

(94)

Question 19

Showing 1 - 19 of 19

Exam 29: Acute Respiratory Distress Syndrome

The therapist was titrating PEEP levels to maintain an SaO2 of 85% and found that 13 cm H2O were required to achieve this goal. What should be the most important concern with this level of PEEP?

Which of the following indirect insults can cause ARDS?

Which of the following ventilatory strategies is appropriate when mechanically ventilating a patient with ARDS?

The therapist is auscultating a 2-year-old patient with ARDS. Which of the following is a common auscultatory finding in ARDS?

What are some of the physical signs of respiratory failure among children? I. Head bobbing II. Nasal flaring III. Crying IV. Grunting

Which of the following interventions should the therapist implement to decrease mortality in patients with ARDS?

Which of the following pathophysiologic changes seen in ARDS is responsible for the decrease in available surface area for gas exchange?

What level of Pplateau should the therapist target to improve outcomes in patients with ARDS?

Which of the following clinical signs characterizes the onset of the third stage of ARDS?

During the implementation of permissive hypercapnia, which of the following concepts is the most critical to prevent complications of this strategy?

Radiographically, what features are typically seen in ARDS?

What level of FiO2 should the therapist avoid using long term in patients with ARDS?

How should the therapist use the point on the pressure-volume loop where the shape changes from concave to exponential?

A therapist is evaluating the progress of a patient with ARDS. The arterial blood gas reveals a PaO2 of 55 mm Hg and a PaCO2 of 65 mm Hg. The PEEP is set at 12 cm H2O, and the mean airway pressure is 18 on an FiO2 of 0.60. What is the OI in this patient?

What pathophysiologic change accounts for the alteration of the hysteresis curve during ARDS?

Which of the following pathophysiologic conditions contribute to the decreased pulmonary compliance associated with ARDS?

Which of the following regions of the lungs is most likely to be unaffected by pathophysiology associated with ARDS?

What acid-base abnormality does a patient generally display when experiencing stage 2 of ARDS?

Fetal Lung Development

Fetal Gas Exchange and Circulation

Antenatal Assessment and High-Risk Delivery

Examination and Assessment of the Neonatal and Pediatric Patient

Pulmonary Function Testing and Bedside Pulmonary Mechanics

Radiographic Assessment

Pediatric Flexible Bronchoscopy

Invasive Blood Gas Analysis and Cardiovascular Monitoring

Noninvasive Monitoring in Neonatal and Pediatric Care

Oxygen Administration

Aerosols and Administration of Inhaled Medications

Airway Clearance Techniques and Hyperinflation Therapy

Airway Management

Surfactant Replacement Therapy

Noninvasive Mechanical Ventilation and Continuous Positive Pressure of the Neonate

Noninvasive Mechanical Ventilation of the Infant and Child

Invasive Mechanical Ventilation of the Neonate and Pediatric Patient

Administration of Gas Mixtures

Extracorporeal Membrane Oxygenation

Pharmacology

Thoracic Organ Transplantation

Neonatal Pulmonary Disorders

Surgical Disorders in Childhood That Affect Respiratory Care

Congenital Cardiac Defects

Pediatric Sleep-Disordered Breathing

Pediatric Airway Disorders and Parenchymal Lung Diseases

Asthma

Cystic Fibrosis

Shock

Pediatric Trauma

Disorders of the Pleura

Neurological and Neuromuscular Disorders

Transport of Infants and Children

Home Care

Quality and Safety

Filters

The therapist was titrating PEEP levels to maintain an SaO₂ of 85% and found that 13 cm H₂O were required to achieve this goal. What should be the most important concern with this level of PEEP?

What level of FiO₂ should the therapist avoid using long term in patients with ARDS?

A therapist is evaluating the progress of a patient with ARDS. The arterial blood gas reveals a PaO₂ of 55 mm Hg and a PaCO₂ of 65 mm Hg. The PEEP is set at 12 cm H₂O, and the mean airway pressure is 18 on an FiO₂ of 0.60. What is the OI in this patient?