LmANDmCLINICALmAPPLICATIONSm6THmEDITIONmBYmJ.M.mCAIRO
Thismevidence-
basedmtestmbankmwalksmreadersmthroughmthemmostmfundamentalmandmadvancedmconceptsmsur
roundingmmechanicalmventilationmandmguidesmthemminmproperlymapplyingmthesemprinciplesmt
ompatientmcare.mThismeditionmfeaturesmamcompletelymrevisedmchaptermonmventilatormgraphics,m
additionalmcasemstudiesmandmclinicalmscenarios,mplusmallmthemreader-
friendlymfeaturesmthatmpromotemcriticalmthinkingmandmclinicalmapplicationm—
mlikemkeympoints,mAARCmclinicalmpracticemguidelines,mandmcriticalmcaremconceptsm—
mthatmhavemhelped mmakemthismtestmbankmamhouseholdmnamemamongmrespiratorymcaremprofessi
onals.
TABLEmOFmCONTENT
PartmI:mBasicmConceptsmandmCoremKnowledgeminmMechanicalmVentilation
1. OxygenationmandmAcid-BasemEvaluation
2. BasicmTermsmandmConceptsmofmMechanicalmVentilation
3. HowmVentilatorsmWork
4. HowmamBreathmIsmDelivered
PartmII:mInitiatingmVentilation
5. EstablishingmthemNeedmformMechanicalmVentilation
6. SelectingmthemVentilatormandmthemMode
7. InitialmVentilatormSettings
8. FinalmConsiderationsminmVentilatormSetup
PartmIII:mMonitoringminmMechanicalmVentilation
9. InitialmPatientmAssessment
10. VentilatormGraphics
11. NoninvasivemMonitoringmofmMechanically-VentilatedmPatients
,12. HemodynamicmMonitoring
PartmIV:mTherapeuticmInterventionsm–mMakingmAppropriatemChanges
13. MethodsmtomImprovemVentilationmandmOthermTechniquesminmPatient-VentilatormManagement
14. ImprovingmOxygenation,mReviewmofmARDS,mandmLungmRecruitmentmManeuvers
15. FrequentlymUsedmPharmacologicmAgentsminmVentilatedmPatients:mSedatives,mAnalgesicsma
ndmParalytics
PartmV:mEffectsmandmComplicationsmofmMechanicalmVentilation
16. CardiovascularmandmOrganmSystemmEffectsmandmComplicationsmofmMechanicalmVentilation
17. EffectsmofmPositivemPressuremVentilationmonmthemPulmonarymSystem
18. Problem-SolvingmandmTroubleshooting
PartmVI:mNoninvasivemPositivemPressuremVentilation
19. BasicmConceptsmofmNoninvasivemPositivemPressuremVentilation
PartmVII:mDiscontinuationmfrommVentilationmandmLong-TermmVentilation
20. WeaningmandmDiscontinuation
21. Long-TermmVentilation!
PartmVIII:mSpecialmApplicationsmofmMechanicalmVentilation
22. NeonatalmandmPediatricmVentilation
23. SpecialmTechniquesminmVentilatorymSupport
, Chapter 1: Oxygenation
m m m
and Acid-
m
Base Evaluation Test Ban
m m m
k
MULTIPLEmCHOICE
1. Themstructuremthatmismresponsiblemformreturningmoxygenatedmbloodmtomthemheartmismthe
a. Pulmonarymartery.
b. Pulmonarymvein.
c. Superiormvenamcava.
d. Inferiormvenamcava.
ANS:m B
Thempulmonarymveinmcarriesmoxygenatedmbloodmtomthemheart.mThempulmonarymarterymcarries
mdeoxygenatedmbloodmfrommthemheartmtomthemlungs.mBothmvenaemcavaemreturnmbloodmtomthemr
ightmatriummofmthemheart.
DIF: Remember REF:m823-824
OBJ:mDescribemthemstructuremandmfunctionmofmthemcardiopulmonarymsyste
m.mTOP:m Planning MSC:m PhysiologicalmIntegrity
2. Chemicalmreceptorsmthatmstimulateminspirationmaremlocatedminmthe
a. Brain.
b. Lungs.
c. Aorta.
d. Heart.
ANS:m C
Chemicalmreceptorsminmthemaortamsendmsignalsmtombeginmtheminspirationmprocess.mThembrain,mlun
gs,mandmheartmallmaremaffectedmbymthismchemicalmreaction.
DIF: Remember REF:m822
OBJ:mStatemthemprocessmofmthemneuralmandmchemicalmregulationmofmrespirati
on.mTOP:m Planning MSC:m PhysiologicalmIntegrity
3. Themnursemknowsmthatmthemprimarymfunctionmofmthemalveolimismto
a. Carrymoutmgasmexchange.
b. Storemoxygen.
c. Regulatemtidalmvolume.
d. Producemhemoglobin.
ANS:m A
Themalveolusmismamcapillarymmembranemthatmallowsmgasmexchangemofmoxygenmandmcarbonmdiox
idemduringmrespiration.mThemalveolimdomnotmstoremoxygen,mregulatemtidalmvolume,mormproducemh
emoglobin.
DIF: Remember REF:m822
OBJ:mDescribemthemstructuremandmfunctionmofmthemcardiopulmonarymsyste
m.mTOP:m Knowledge MSC:m PhysiologicalmIntegrity
4. Themnursemknowsmthatmanemiamwillmresultmin
a. Hypoxemia.