MIP and MEP questions n answers graded A+ 2023/2024

MIP and MEP Maximal Inspiratory Pressure may also be known as: - correct answer -PImax -NIF -MIP Maximal Expiratory Pressure may also be known as: - correct answer -PEmax -MEP Indications for MIP and MEP: - correct answer -Determine the degree of respiratory muscle weakness in patients with: +Neuromuscular dz +Obstructive lung dz causing hyperinflation and unexplained dypsnea. -Obtain information in unexplained reductions in VC and MVV -Weaning patients from mechanical ventilation -Evaluate potential for effective cough and the ability to bring up secretions. What do we want the MIP to be? - correct answer > -20.....(-30, -40, -50 is better) More negative = stronger What is the MIP maneuver called? - correct answer Mueller maneuvere What information do we get from MIP? - correct answer -The strength of the diaphragm, intercostals, and inspiratory accessory muscles. What do we want MEP to be? - correct answer > than 40 What is the MEP maneuver called? - correct answer Valsalva maneuver What information to we get from MEP? - correct answer Strength of the abdominal muscles, intercostals, and other expiratory accessory muscles. MIP technique: - correct answer Pt blows out slowly to RV, and then inhales against the occluded valve with as much force as possible while keeping the lips sealed tightly around the mouthpiece. -do atleast 3 maneuvers and the 2 highest should agree withing 10% MEP technique: - correct answer Have the patient take a deep breath and then exhale against the occluded valve with as much force as possible while keeping the lips sealed tightly around the mouthpiece. -obtain at lease 3 maneuvers and the 2 highest values should agree within 10 % What are MIPs and MEPs used for? - correct answer Assess the force that respiratory muscles can generate against an occlusion at the mouth. What is the device used to measure MIP and MEP? - correct answer Manometer What is the Predicted MIP value in healthy men aged 20-54 years? - correct answer Greater than -80 What is the predicted MIP value healthy women aged 20-54 years? - correct answer Greater than -55 What is the Predicted MEP value in healthy men aged 20-54? - correct answer Greater than +200 cmH2O What is the predicted MEP value healthy women aged 20-54 years? - correct answer Greater than +98