Exam 44: Respiratory Failure and the Need for Ventilatory Support

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A patient with interstitial lung disease who presents with hypoxemia due to diffusion defect would have which of the following clinical signs? 1) Fine bibasilar crackles 2) Clubbing of the finger nail beds 3) Jugular venous distention 4) Thrombocytopenia

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B

Which of the following measures taken on adult patients indicate unacceptably high ventilatory demands or work of breathing?

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A

A need for some form of ventilatory support is usually indicated when an adult's rate of breathing rises above what level?

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A

Which of the following patients are at greatest risk for developing auto-PEEP during mechanical ventilation?

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Which of the following are causes of hypoxemia? 1) Ventilation/perfusion ( Which of the following are causes of hypoxemia? 1) Ventilation/perfusion (   ) mismatch 2) Alveolar hypoventilation 3) Diffusion impairment 4) Increased inspired O<sub>2</sub> ) mismatch 2) Alveolar hypoventilation 3) Diffusion impairment 4) Increased inspired O2

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What is the normal P(A-a)O2 range while breathing room air?

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Inadequate respiratory muscle strength is likely when a patient's MVV is which of the following?

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Hypercapnic (type II) respiratory failure is a synonym for which one of the following terms?

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Which of the following are associated with hypercapnic respiratory failure due to decreased ventilatory drive? 1) Brainstem lesions 2) Encephalitis 3) Hypothyroidism 4) Asthma

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What is respiratory failure due to inadequate ventilation?

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Which of the following indicators are useful in assessing respiratory muscle strength? 1) Maximum voluntary ventilation (MVV) 2) Forced vital capacity (FVC) 3) Dead space-to-tidal volume ratio (VD/VT) 4) Maximum inspiratory pressure (MIP)

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When is respiratory muscle fatigue likely to occur?

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What happens to the P(A-a)O2 with mismatch and shunt?

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Which of the following are associated with hypercapnic respiratory failure due to respiratory muscle weakness or fatigue? 1) Hyperthyroidism 2) Myasthenia gravis 3) Amyotrophic lateral sclerosis 4) Guillain-Barré syndrome

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Which of the following indicate severely impaired oxygenation requiring high FiO2s and positive end expiratory pressure? 1) PaO2-PaO2 greater than 350 mm Hg on 100% O2 2) VC less than 10 ml/kg 3) PaO2/FiO2 less than 200 4) PaCO2 greater than 45 mm Hg

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Common bedside measures used to assess the adequacy of lung expansion include which of the following? 1) VC 2) Respiratory rate 3) VT 4) VD/VT

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Mr. Adam is in the ICU on an FiO2 of 100%. An arterial blood gas reveals the following information: pH of 7.18, PaCO2 of 59 mm Hg, PaO2 of 65 mm Hg, HCO3 of 24 mEq/L What action would you recommend?

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You determine that an acutely ill patient can generate an MIP of -18 cm H2O. Based on this information, what might you conclude?

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Your patient is hypoventilating. Which of the following would be likely findings?

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Which of the following modes of ventilatory support would you recommend for a severely hypoxemic patient with acute lung injury or acute respiratory distress syndrome (ARDS)?

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