TMC Mechanical Ventilation Practice
questions
A 176 lb male affected person is intubated and receiving extent manipulate A/C air flow with the
following settings: FiO2 of forty%, Rate of 12/min, and Tidal Volume of 550 mL. An ABG
became analyzed and the following outcomes have been obtained:
ABG Results and Ventilator Settings
pH 7.39
PaCO2 37 mmHg
HCO3- 23 mEq/L
PaO2 107 mmHg
Spontaneous Tidal Volume 180 mL
Spontaneous Rate 37/min
Vital Capacity 550 mL
MIP/NIF -12 cm H2O
Which of the subsequent could you endorse?
A. Place the affected person on a 40% T-piece and screen carefully B. Switch the affected
person to SIMV at a rate of five/minute
C. Place the affected person on CPAP and monitor closely
D. Maintain the present day ventilator settings and re-compare later - ANSB?
D!
A forty three-12 months-old male patient turned into admitted to the emergency branch with a
suspected drug overdose. The patient is receiving oxygen thru nonrebreather but is
unconscious and isn't always making any respiration efforts to respire. The affected person's
frame weight is 57 kg and his ABG results are as follows:
pH 7.28
PaCO2 seventy four torr HCO3 20 mEq/L PaO2 315 torr
Which of the following might you endorse?
A. Apply BiPAP with: IPAP 20 cm H2O, EPAP 5 cm H2O, FiO2 30%
B. Intubate and follow: SIMV, tidal extent six hundred mL, rate 6/min, FiO2 40%
C. Intubate and apply: A/C air flow, tidal extent 450 mL, charge 12/min, FiO2 50%
D. Apply CPAP at 10 cm H2O and an FiO2 of one hundred% - ANSC
A 51-year-old girl patient with a history of asthma is receiving mechanical ventilation in the
assist-manipulate mode. Upon evaluation, you be aware that she is struggling to provoke
concept. Which of the following settings might you test first in an effort to solve of this hassle?
A. Tidal volume
B. Pressure restrict
, C. Sensitivity
D. PEEP - ANSC
A 52 kg woman patient is receiving quantity manipulate A/C mechanical ventilation with a tidal
extent of 400 mL, a set price of 10/min, and an FiO2 of 35%. Her blood gasoline consequences
are as follows:
pH 7.31
PaCO2 49 torr
HCO3 24 mEq/L
BE -2 mEq/L
PaO2 eighty four torr
SpO2 ninety five%
Based on the given information, which of the following changes is suitable at this time?
A. Increase the FiO2
B. Increase the tidal quantity
C. Increase the set fee
D. Maintain the current settings - ANSC?
A 58-12 months-old lady is receiving volume control A/C air flow at a price of 12/min with a tidal
extent of 450 mL. The FiO2 is about at forty% and her ABG effects are as follows:
pH 7.35
PaCO2 44 torr HCO3 22 mEq/L BE zero
PaO2 91 torr SaO2 97%
Based on this information, you must recommend which of the following?
A. Decrease the minute ventilation
B. Discontinue mechanical ventilation
C. Administer IV bicarbonate
D. Maintain the modern settings - ANSD
A 60-12 months-old girl affected person is receiving assist-control mechanical air flow. Which of
the subsequent is the most common hassle associated with this ventilatory mode?
A. Hypoventilation
B. Hyperventilation
C. The need for neuromuscular paralysis
D. Increased work of respiratory - ANSB?
D?
A 60-12 months-old woman patient who in orally intubated goes through a spontaneous
respiration trial. Which of the subsequent would suggest the want to forestall the trial and go
back the affected person again to complete ventilatory help?
A. An boom in coronary heart rate from 96 to 114/min
B. An boom in breathing charge from 17 to 27/min
C. An boom in arterial PCO2 from forty four to fifty two torr
D. A lower in SpO2 from ninety two% to 83% - ANSEithe A or B
questions
A 176 lb male affected person is intubated and receiving extent manipulate A/C air flow with the
following settings: FiO2 of forty%, Rate of 12/min, and Tidal Volume of 550 mL. An ABG
became analyzed and the following outcomes have been obtained:
ABG Results and Ventilator Settings
pH 7.39
PaCO2 37 mmHg
HCO3- 23 mEq/L
PaO2 107 mmHg
Spontaneous Tidal Volume 180 mL
Spontaneous Rate 37/min
Vital Capacity 550 mL
MIP/NIF -12 cm H2O
Which of the subsequent could you endorse?
A. Place the affected person on a 40% T-piece and screen carefully B. Switch the affected
person to SIMV at a rate of five/minute
C. Place the affected person on CPAP and monitor closely
D. Maintain the present day ventilator settings and re-compare later - ANSB?
D!
A forty three-12 months-old male patient turned into admitted to the emergency branch with a
suspected drug overdose. The patient is receiving oxygen thru nonrebreather but is
unconscious and isn't always making any respiration efforts to respire. The affected person's
frame weight is 57 kg and his ABG results are as follows:
pH 7.28
PaCO2 seventy four torr HCO3 20 mEq/L PaO2 315 torr
Which of the following might you endorse?
A. Apply BiPAP with: IPAP 20 cm H2O, EPAP 5 cm H2O, FiO2 30%
B. Intubate and follow: SIMV, tidal extent six hundred mL, rate 6/min, FiO2 40%
C. Intubate and apply: A/C air flow, tidal extent 450 mL, charge 12/min, FiO2 50%
D. Apply CPAP at 10 cm H2O and an FiO2 of one hundred% - ANSC
A 51-year-old girl patient with a history of asthma is receiving mechanical ventilation in the
assist-manipulate mode. Upon evaluation, you be aware that she is struggling to provoke
concept. Which of the following settings might you test first in an effort to solve of this hassle?
A. Tidal volume
B. Pressure restrict
, C. Sensitivity
D. PEEP - ANSC
A 52 kg woman patient is receiving quantity manipulate A/C mechanical ventilation with a tidal
extent of 400 mL, a set price of 10/min, and an FiO2 of 35%. Her blood gasoline consequences
are as follows:
pH 7.31
PaCO2 49 torr
HCO3 24 mEq/L
BE -2 mEq/L
PaO2 eighty four torr
SpO2 ninety five%
Based on the given information, which of the following changes is suitable at this time?
A. Increase the FiO2
B. Increase the tidal quantity
C. Increase the set fee
D. Maintain the current settings - ANSC?
A 58-12 months-old lady is receiving volume control A/C air flow at a price of 12/min with a tidal
extent of 450 mL. The FiO2 is about at forty% and her ABG effects are as follows:
pH 7.35
PaCO2 44 torr HCO3 22 mEq/L BE zero
PaO2 91 torr SaO2 97%
Based on this information, you must recommend which of the following?
A. Decrease the minute ventilation
B. Discontinue mechanical ventilation
C. Administer IV bicarbonate
D. Maintain the modern settings - ANSD
A 60-12 months-old girl affected person is receiving assist-control mechanical air flow. Which of
the subsequent is the most common hassle associated with this ventilatory mode?
A. Hypoventilation
B. Hyperventilation
C. The need for neuromuscular paralysis
D. Increased work of respiratory - ANSB?
D?
A 60-12 months-old woman patient who in orally intubated goes through a spontaneous
respiration trial. Which of the subsequent would suggest the want to forestall the trial and go
back the affected person again to complete ventilatory help?
A. An boom in coronary heart rate from 96 to 114/min
B. An boom in breathing charge from 17 to 27/min
C. An boom in arterial PCO2 from forty four to fifty two torr
D. A lower in SpO2 from ninety two% to 83% - ANSEithe A or B
