1
Contraindications for CPAP include.
Upper airway abnormalities, untreated air leaks, cardiovascular instability, untreated diaphragmatic hernia, or pts that are not spontaneously breathing
This mode is used when oxygenation is the issue.
CPAP
This is the initial setting for I:E ratio of a term neonate.
1:1.5-1:2
This mode of ventilation increases FRC and can prevent pts with RDS from needing cont mech vent.
CPAP
Barotrauma is a hazard of CPAP from this.
High pressures
This is a requirement for PSV.
Reliable spontaneous breathing
Increasing PEEP will cause this change in mPaw.
mPaw will increase
A paralyzed pt (either physically or chemically) requires this mode of ventilation.
Time-triggered CMV
This is the initial setting for rate of a term neonate.
30-40
Bradycardia or tachycardia, cyanosis, and/or pallor while weaning would indicate this.
Failure to wean
This is the initial setting for PEEP of a term neonate.
3-5
Respiratory alkalosis can be caused by this inappropriately set parameter.
Rate, if it is set unnecessarily high
This is the initial setting for PIP of a term neonate.
15-20
Vent circuits should be changed at this frequency to avoid infection.
No more than every 48 hours or as circuit requires (visibly soiled or damaged)
Increased crackles indicate a change in this lung characteristic.
Compliance (decreased)
100% FiO2 should be used in a neo/ped pt with these clinical symtpoms.
Severe hypoxemia and cyanosis
This is the initial setting for Ti of a term neonate.
0.5-0.6 sec
Inconsistent Ve is a disadvantage of this mode of ventilation.
PC
CPAP, SIMV, and PSV all have this in common.
They provide partial ventilatory support.
These are signs of hypercapnic respiratory failure.
PaCO2 >60, pH <7.25, apneic, listless, cyanosis, bradycardia or tachycardia
This is the initial setting for Vt of a 7 lb neonate.
25 mL (8ml/kg)
FiO2 while receiving CPAP should be decreased to 40-60% by decrements of this amout.
0.05 decrements
This describes the meaning of optimum PEEP.
The highest PEEP that can be used to get a PaO2 of >60 without cardiac effects.
Rate is the primary parameter used to alter this parameter.
This is the initial setting for FiO2 of a term neonate.
Set to maintain SpO2 90-92% with no cyanosis