Exam 41: Medical Gas Therapy

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Which of the following are true about NO2? 1) NO2 levels greater than 10 ppm can cause hemorrhage, pulmonary edema, and death. 2) NO2 is produced spontaneously whenever NO is exposed to O2. 3) The Occupational Safety and Health Administration (OSHA) safety limit for NO2 exposure is 5 ppm. 4) NO2 exposure should be kept below 5 ppm during NO administration.

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Which of the following factors should be used in properly selecting an O2 delivery device? 1) Knowledge of general performance of the device 2) Physician's preference 3) Individual capabilities of the equipment

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A 52-year-old man is admitted to the hospital emergency department with a primary complaint of severe radiating chest pain and signs of central cyanosis. The attending asks for your advice on selecting a device that provides a moderate FiO2 for this patient. Which of the following would you recommend?

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What is the problem with input flows greater than 10 to 15 L/min in an infant Oxy-Hood?

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An O2 delivery device takes separate pressurized air and O2 sources as input, then mixes these gases through a precision valve. What does this describe?

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Specific clinical objectives of oxygen (O2) therapy include which of the following? 1) Decrease the symptoms caused by chronic hypoxemia. 2) Decrease the workload hypoxemia imposes on the heart and lungs. 3) Correct documented arterial hypoxemia. 4) Correct documented respiratory acidosis.

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Physiologic effects of inhaled nitric oxide (NO) include which of the following? 1) Recruitment of collapsed alveoli 2) Improved blood flow to ventilated alveoli 3) Decreased pulmonary vascular resistance 4) Reduced intrapulmonary shunting

(Multiple Choice)
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Some of the major disadvantages of the transtracheal catheter are which of the following? 1) Infection 2) Mucus plugging 3) Excessive oxygen use 4) Lost tract or insertion opening

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To ensure the prescribed FiO2 for a patient receiving 65% O2, you apply a closed reservoir delivery system with a one-way expiratory valve. What other component must be included in this system to ensure a fail-safe operation?

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A cooperative and alert postoperative patient who is able to eat requires a continuous but low FiO2. Precise FiO2 concentrations are not needed. Which of the following devices would best achieve this end?

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To minimize the risk of retinopathy of prematurity (ROP), the American Academy of Pediatrics recommends keeping the PaO2 below what level?

(Multiple Choice)
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Features of an ideal delivery system for NO for use with mechanical ventilation include which of the following? 1) Provides precise and stable NO dose delivery. 2) Premixes NO and O2 in a holding reservoir. 3) Provides accurate NO and NO2 monitoring. 4) Maintains proper ventilator function.

(Multiple Choice)
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A physician orders 40% O2 through an air-entrainment nebulizer for a patient with a minute volume of 12 L/min. What is the minimum nebulizer input flow required to ensure the prescribed FiO2?

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