Exam 43: Physiology of Ventilatory Support

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What are some key causes of patient-ventilator asynchrony and increased work of breathing during pressure-triggered volume-controlled continuous mandatory ventilation? I.improper trigger setting II.insufficient inspiratory flow III.high peak airway pressures

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Which of the following mechanisms explains the impaired renal function seen in patients receiving ventilatory support with positive pressure? I.decreased secretion of aldosterone II.decreased intravascular volume III.increased secretion of vasopressin

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When bedside work of breathing measures are unavailable, you should adjust the level of pressure-supported ventilation (PSV) to which of the following breathing patterns? Spontaneous Rate A. 15 to 25/ 5 to 81/ B. 10 to 15/ 3 to 5/ C. 15 to 25/ 8 to 10/ D. 20 to 30/ 3 to 5/

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Which of the following conditions is associated with a lack of response to increased FIO2 in patients receiving positive-pressure ventilation?

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What are some primary uses for pressure-supported ventilation (PSV)? I.recruiting collapsed alveoli and improving oxygenation II.augmenting patient's spontaneous VT III.overcoming the imposed work of breathing

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Detrimental effects of auto-positive end-expiratory pressure (PEEP) include all of the following except:

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In which of the following types of ventilation can pleural pressure become positive during inspiration? I.positive-pressure ventilation II.spontaneous ventilation III.negative-pressure ventilation

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For patients with respiratory insufficiency, pressure-supported ventilation (PSV) has all of the following advantages over spontaneous breathing except:

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Which of the following terms describes the lung injury associated with the release of prostanoids?

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Inspection of the airway pressure waveform of a patient receiving volume-controlled continuous mandatory ventilation assist-control with constant flow reveals a large dip or drop in pressure at the beginning of inspiration. Which of the following problems is most likely?

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Which level of plateau pressure increases the likelihood of causing lung injury?

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Which of the following is FALSE about continuous positive airway pressure (CPAP)?

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In which of the following types of ventilation is alveolar expansion during inspiration due to an increase in alveolar pressure? I.negative-pressure ventilation II.positive-pressure ventilation III.spontaneous ventilation

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Which of the following variables determine the level of support achieved with adaptive support ventilation? I.patient effort II.elastance III.resistance of the endotracheal tube

(Multiple Choice)
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Moderate rises in pleural pressure during positive-pressure ventilation have a minimal effect on cardiac output in normal subjects. What are some reasons for this lack of effect? I.compensatory dilation of the large arteries II.compensatory increase in venomotor tone III.compensatory increase in the cardiac rate

(Multiple Choice)
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Bilevel positive airway pressure (BiPAP) is used for all of the following purposes except:

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Types of damage associated with pulmonary barotrauma include all of the following except:

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Physiological effects of adding a volume-limited inflation hold to mandatory breaths include which of the following? I.decreased PaCO2 II.increased inspiratory time III.decreased VD/VT IV.Longer expiratory times

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Potential effects of hyperventilation on the central nervous system include which of the following? I.increased O2 consumption II.increased cerebral vascular resistance (CVR)III.increased intracranial pressure (ICP)

(Multiple Choice)
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Which of the following gastrointestinal conditions are commonly associated with long-term positive-pressure ventilation (PPV)? I.bleeding II.ulceration III.diarrhea

(Multiple Choice)
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