Essam Mohamed
@EgyRnpedia- موسوعة التمريض
Interview
Questions & Answers
When do we use the mechanical ventilator?
★ In case of respiratory failure, coma, pulmonary edema, COPD, RDS, GCS less than 8,
neurological disorders, respiratory or cardiac arrest, and patient under general anesthesia.
What do you know about the ventilator modes?
★ The ventilator works according to the patient consciousness level and the ability to
breath. This difference is called as the ventilator modes. There are two kinds of the
ventilator modes which are volume cycled and pressure cycled. Volume cycled include
ACV and SIMV. Pressure cycled include PCV, PSV, CPAP, BIPAP, HFOV and APRV.
Mention the abbreviations of each mode?
★ ACV → Assist – Control Ventilation
★ SIMV → Synchronized Intermittent Mandatory Ventilation
★ PCV → Pressure Control Ventilation
★ PSV → Pressure Support Ventilation
★ CPAP → Continues Positive Airway Pressure
★ BIPAP→ Bi Phasic/Level Positive Airway Pressure
★ HFOV → High Frequency Oscillation Ventilation
★ APRV → Airway Pressure Release Ventilation
What do you know about PEEP?
★ It is an abbreviation for positive end expiratory pressure. When expiration occurs, an
amount of air remains inside the alveoli, which creates positive pressure to prevent the
collapse of the alveoli.
.عندما تحدث عملية الزفير يتبقي كمية الهواء في الحويصلة الهوائية تعمل علي خلق ضغط ايجابي لمنع حدوث انهيار لجدران الحويصلة
A patient is taking sedation, which mood is suitable?
★ Assist – control ventilation (ACV) mode.
التنفس يعني العيان مش ) اسللترخاء لعضللrelaxation of respiratory muscles( معني انه اخد ادوية تخدير يبقي هيحصللل
.) عشان الفين يديله النفس بشكل كاملAssisted – control ventilation (ACV)( هيقدر ياخد نفسه ف بنحطه علي
@EGYRNPEDIA زوروا صفحتنا العظيمه علي الفيسبوك 1
https://www.facebook.com/EgyRNpedia
,Essam Mohamed
@EgyRnpedia- موسوعة التمريض
What do you know about noninvasive CPAP mask?
★ CPAP mode can be connected to the patient with invasive and noninvasive airways but
it is better to connect it in noninvasive airways which is a mask fixed well above the nose
and mouth.
The difference between invasive and noninvasive airways?
★ Invasive airways such as tracheostomy and endotracheal tube but noninvasive airways
such as a mask fixed at the nose and mouth without invasion to the airway.
Which mode is suitable for a pulmonary edema patient?
★ continues positive airway pressure (CPAP) mode.
.النه يعمل علي خلق ضغط ايجابي علي مجري الهواء فيحافظ عليه واسع ليسمح بأكبر كمية ممكنه من الهواء بالدخول للرئة
Mention alarms of the ventilator?
★ Inoperative, high pressure, low pressure, apnea, high respiratory rate and low oxygen
inlet alarms.
Which mode can be used when weaning the patient from the ventilator?
★ PSV, SIMV, CPAP and BIPAP modes according to the doctor orders.
What do you know about the ventilator weaning?
★ It is to separate the patient from the ventilator when some criteria appear related to the
patient and the device confirms that the patient no longer suffers from the reason for
placing it on the device.
وبالجهاز التي تشلير الي ان المري المعايير الخاصلة بالمري هو فصلل المري من علي جهاز التنفس الصلناعي عندما تظهر بع
.لم يعد يعاني من السبب الذي وضعه علي الجهاز
What equipment must be prepared during the ventilator weaning?
★ Suction device and its tools, T-tube, some medications such as magnisum sulfate and
solumidol and nubilizer device.
@EGYRNPEDIA زوروا صفحتنا العظيمه علي الفيسبوك 2
https://www.facebook.com/EgyRNpedia
, Essam Mohamed
@EgyRnpedia- موسوعة التمريض
What do you know about VAP bundle?
★ The VAP bundle is a set of steps to apply together to prevent or reduce the chance of
ventilator-associated pneumonia.
عشان مجموعه من الخطوا بطبقهم مع بعventilator associated pneumonia المقصود بيها هيVAP bundle الللل ل
. امنع او اقلل فرصه حدوث التهاب رئوي المرتبط بجهاز الفين
1. Bed 45 degree
2. ↑ Sedation
3. Peptic ulcer prophylaxis
4. Deep vein prophylaxis
5. Oral care with chlorhexidine 0.12%
6. Change position frequently
7. Suction
What are the reversible causes for cardiac arrest? 4H4T
★ Hypoxia
★ Hypothermia
★ Hyperkalemia
★ Hypovolemia
★ Temponade
★ Tension Pneumothorax
★ Toxins
★ Thrombosis
What is the difference between cardiac arrest and heart attack?
★ Heart attack occurs because there is no sufficient blood delivered to the heart due to
embolism but the patient have pulse. Cardiac arrest means that the heart stopped from
pumping blood at all due to an irregular in heart electricity and the patient haven’t a pulse.
اما السلكتة القلبية، ولكن المري لدية نبembolism الذبحة الصلدرية تحدث بسلبب عدم وصلول دم كافي للقلب بمعني حدوث انسلداد
تحدث نتيجة ان القلب توقف مره واحده عن ضخ الدم بسبب وجود خلل او فشل او عدم انتظام كهربة القلب وهنا المري ليس لدية نب
How do you know that the patient arresting?
★ The patient will be unconscious and unresponsive. There is no breathing or pulse.
What will you do when you are sure that the patient is arrested?
★ Before CPR apply DR ABC which is an abbreviation for danger, response, airway,
breathing and circulation.
@EGYRNPEDIA زوروا صفحتنا العظيمه علي الفيسبوك 3
https://www.facebook.com/EgyRNpedia
@EgyRnpedia- موسوعة التمريض
Interview
Questions & Answers
When do we use the mechanical ventilator?
★ In case of respiratory failure, coma, pulmonary edema, COPD, RDS, GCS less than 8,
neurological disorders, respiratory or cardiac arrest, and patient under general anesthesia.
What do you know about the ventilator modes?
★ The ventilator works according to the patient consciousness level and the ability to
breath. This difference is called as the ventilator modes. There are two kinds of the
ventilator modes which are volume cycled and pressure cycled. Volume cycled include
ACV and SIMV. Pressure cycled include PCV, PSV, CPAP, BIPAP, HFOV and APRV.
Mention the abbreviations of each mode?
★ ACV → Assist – Control Ventilation
★ SIMV → Synchronized Intermittent Mandatory Ventilation
★ PCV → Pressure Control Ventilation
★ PSV → Pressure Support Ventilation
★ CPAP → Continues Positive Airway Pressure
★ BIPAP→ Bi Phasic/Level Positive Airway Pressure
★ HFOV → High Frequency Oscillation Ventilation
★ APRV → Airway Pressure Release Ventilation
What do you know about PEEP?
★ It is an abbreviation for positive end expiratory pressure. When expiration occurs, an
amount of air remains inside the alveoli, which creates positive pressure to prevent the
collapse of the alveoli.
.عندما تحدث عملية الزفير يتبقي كمية الهواء في الحويصلة الهوائية تعمل علي خلق ضغط ايجابي لمنع حدوث انهيار لجدران الحويصلة
A patient is taking sedation, which mood is suitable?
★ Assist – control ventilation (ACV) mode.
التنفس يعني العيان مش ) اسللترخاء لعضللrelaxation of respiratory muscles( معني انه اخد ادوية تخدير يبقي هيحصللل
.) عشان الفين يديله النفس بشكل كاملAssisted – control ventilation (ACV)( هيقدر ياخد نفسه ف بنحطه علي
@EGYRNPEDIA زوروا صفحتنا العظيمه علي الفيسبوك 1
https://www.facebook.com/EgyRNpedia
,Essam Mohamed
@EgyRnpedia- موسوعة التمريض
What do you know about noninvasive CPAP mask?
★ CPAP mode can be connected to the patient with invasive and noninvasive airways but
it is better to connect it in noninvasive airways which is a mask fixed well above the nose
and mouth.
The difference between invasive and noninvasive airways?
★ Invasive airways such as tracheostomy and endotracheal tube but noninvasive airways
such as a mask fixed at the nose and mouth without invasion to the airway.
Which mode is suitable for a pulmonary edema patient?
★ continues positive airway pressure (CPAP) mode.
.النه يعمل علي خلق ضغط ايجابي علي مجري الهواء فيحافظ عليه واسع ليسمح بأكبر كمية ممكنه من الهواء بالدخول للرئة
Mention alarms of the ventilator?
★ Inoperative, high pressure, low pressure, apnea, high respiratory rate and low oxygen
inlet alarms.
Which mode can be used when weaning the patient from the ventilator?
★ PSV, SIMV, CPAP and BIPAP modes according to the doctor orders.
What do you know about the ventilator weaning?
★ It is to separate the patient from the ventilator when some criteria appear related to the
patient and the device confirms that the patient no longer suffers from the reason for
placing it on the device.
وبالجهاز التي تشلير الي ان المري المعايير الخاصلة بالمري هو فصلل المري من علي جهاز التنفس الصلناعي عندما تظهر بع
.لم يعد يعاني من السبب الذي وضعه علي الجهاز
What equipment must be prepared during the ventilator weaning?
★ Suction device and its tools, T-tube, some medications such as magnisum sulfate and
solumidol and nubilizer device.
@EGYRNPEDIA زوروا صفحتنا العظيمه علي الفيسبوك 2
https://www.facebook.com/EgyRNpedia
, Essam Mohamed
@EgyRnpedia- موسوعة التمريض
What do you know about VAP bundle?
★ The VAP bundle is a set of steps to apply together to prevent or reduce the chance of
ventilator-associated pneumonia.
عشان مجموعه من الخطوا بطبقهم مع بعventilator associated pneumonia المقصود بيها هيVAP bundle الللل ل
. امنع او اقلل فرصه حدوث التهاب رئوي المرتبط بجهاز الفين
1. Bed 45 degree
2. ↑ Sedation
3. Peptic ulcer prophylaxis
4. Deep vein prophylaxis
5. Oral care with chlorhexidine 0.12%
6. Change position frequently
7. Suction
What are the reversible causes for cardiac arrest? 4H4T
★ Hypoxia
★ Hypothermia
★ Hyperkalemia
★ Hypovolemia
★ Temponade
★ Tension Pneumothorax
★ Toxins
★ Thrombosis
What is the difference between cardiac arrest and heart attack?
★ Heart attack occurs because there is no sufficient blood delivered to the heart due to
embolism but the patient have pulse. Cardiac arrest means that the heart stopped from
pumping blood at all due to an irregular in heart electricity and the patient haven’t a pulse.
اما السلكتة القلبية، ولكن المري لدية نبembolism الذبحة الصلدرية تحدث بسلبب عدم وصلول دم كافي للقلب بمعني حدوث انسلداد
تحدث نتيجة ان القلب توقف مره واحده عن ضخ الدم بسبب وجود خلل او فشل او عدم انتظام كهربة القلب وهنا المري ليس لدية نب
How do you know that the patient arresting?
★ The patient will be unconscious and unresponsive. There is no breathing or pulse.
What will you do when you are sure that the patient is arrested?
★ Before CPR apply DR ABC which is an abbreviation for danger, response, airway,
breathing and circulation.
@EGYRNPEDIA زوروا صفحتنا العظيمه علي الفيسبوك 3
https://www.facebook.com/EgyRNpedia
