CRT RRT NBRC COMPREHENSIVE UPDATED
QUESTIONS AND ANSWERS SURE A+
✔✔Flow Volume Loops - ✔✔-volumes and flow rates of the FVC
-Restrictive: skinny & tall
-Obstructive: short and wide
✔✔Diseases with Decreased DLCO - ✔✔-Pulmonary fibrosis
-Sarcoidosis
-ARDS
-Edema
-Emphysema (Obstructive)
✔✔Bodaii adapter - ✔✔-for patients receiving CMV during a bronchoscopy
-prevent loss of: Pressure, PEEP, VT
-High Frequency Jet ventilator preferred if not tolerating during bronchoscopy
-decontaminate with Cidex
✔✔Transport Ventilators - ✔✔If respiratory rate or tidal volume decreases on pneumatic
transport ventilator = check cylinder pressure
✔✔Ventilator Alarms - ✔✔-10 above/below pressure limit
-100 mL minimum exhaled volume
-Fio2 = 5%
✔✔Initial Vent Settings - Infants - ✔✔-Mode: IMV
-PIP: 20 - 30 cmH20
-RR: 20-30
-I-time: 0.5 - 0.6 seconds
-Flow: 5-6 L/min
-FiO2: same level
-PEEP: +2 - +4 (max 8)
-VT: 4-6-8 ml/kg
, ✔✔DeadSpace Ventilation - ✔✔-1 mL per lb of IBW
-10 mL per inch of flex tubing (5" = 50mL VD)
✔✔Controls that affect MAP - ✔✔-PEEP
-PIP
-RR
-I-time
-Peak Flow
-TIdal Volume
-Inflation Hold
✔✔Assist/Control Mode - ✔✔-allows patient to set the respiratory rate
-ventilator will maintain a minimum rate
-may be used with most patients in most cases
-Ventilator control tidal volume for every breath
✔✔SIMV mode - ✔✔-USED FOR COPD TO NORMALIZE ABG
-USED FOR TACHYPNEA TO AVOID HYPERVENTILATION
-WEANING
-Reduce barotrauma (PEEP)
✔✔Pressure Control Ventilation - ✔✔-patients requiring high FiO2 and PEEP
-High PIP
-Low PaO2 and decreased compliance
✔✔High Frequency Ventilation - ✔✔-Rate = Frequency
-Volume - Amplitude
-% inspiratory time - I-time
-lower peak and mean airway pressure
-bronchopleural fistula/ARDS
-Pulmonary air leak (PIE)
-Paw is set 2-5 cmH2O above MAP on CMV
✔✔High Frequency Positive Pressure Ventilation - ✔✔-HFPPV
-150 - 300
-2-5 hertz
✔✔High Frequency Jet Ventilation - ✔✔-HFJV
-100-600
-1.5 - 10 hertz
✔✔High Frequency Flow Interrupter Ventilation - ✔✔-HFFIV
-120-1320
-2-22 Hertz
QUESTIONS AND ANSWERS SURE A+
✔✔Flow Volume Loops - ✔✔-volumes and flow rates of the FVC
-Restrictive: skinny & tall
-Obstructive: short and wide
✔✔Diseases with Decreased DLCO - ✔✔-Pulmonary fibrosis
-Sarcoidosis
-ARDS
-Edema
-Emphysema (Obstructive)
✔✔Bodaii adapter - ✔✔-for patients receiving CMV during a bronchoscopy
-prevent loss of: Pressure, PEEP, VT
-High Frequency Jet ventilator preferred if not tolerating during bronchoscopy
-decontaminate with Cidex
✔✔Transport Ventilators - ✔✔If respiratory rate or tidal volume decreases on pneumatic
transport ventilator = check cylinder pressure
✔✔Ventilator Alarms - ✔✔-10 above/below pressure limit
-100 mL minimum exhaled volume
-Fio2 = 5%
✔✔Initial Vent Settings - Infants - ✔✔-Mode: IMV
-PIP: 20 - 30 cmH20
-RR: 20-30
-I-time: 0.5 - 0.6 seconds
-Flow: 5-6 L/min
-FiO2: same level
-PEEP: +2 - +4 (max 8)
-VT: 4-6-8 ml/kg
, ✔✔DeadSpace Ventilation - ✔✔-1 mL per lb of IBW
-10 mL per inch of flex tubing (5" = 50mL VD)
✔✔Controls that affect MAP - ✔✔-PEEP
-PIP
-RR
-I-time
-Peak Flow
-TIdal Volume
-Inflation Hold
✔✔Assist/Control Mode - ✔✔-allows patient to set the respiratory rate
-ventilator will maintain a minimum rate
-may be used with most patients in most cases
-Ventilator control tidal volume for every breath
✔✔SIMV mode - ✔✔-USED FOR COPD TO NORMALIZE ABG
-USED FOR TACHYPNEA TO AVOID HYPERVENTILATION
-WEANING
-Reduce barotrauma (PEEP)
✔✔Pressure Control Ventilation - ✔✔-patients requiring high FiO2 and PEEP
-High PIP
-Low PaO2 and decreased compliance
✔✔High Frequency Ventilation - ✔✔-Rate = Frequency
-Volume - Amplitude
-% inspiratory time - I-time
-lower peak and mean airway pressure
-bronchopleural fistula/ARDS
-Pulmonary air leak (PIE)
-Paw is set 2-5 cmH2O above MAP on CMV
✔✔High Frequency Positive Pressure Ventilation - ✔✔-HFPPV
-150 - 300
-2-5 hertz
✔✔High Frequency Jet Ventilation - ✔✔-HFJV
-100-600
-1.5 - 10 hertz
✔✔High Frequency Flow Interrupter Ventilation - ✔✔-HFFIV
-120-1320
-2-22 Hertz
