HFOV
BIVENT
SEPSIS
HFOV Part II
BIVENT Part II
100
3 Hz = ____ BPM
180
100
What is the name of the "upper CPAP level"
P High
100
What usually causes sepsis
Bacteria
100
Blood gas results - pH 7.22, PaCO2 66, PaO2 80 What would you do correct it?
Increase Amps and/or decrease Hz
100
If you want to decrease your PaO2 on bivent then you would
decrease your P-High and/or T-High
200
In order to decrease your CO2, you must ______ your Hz.
Decrease
200
What is the name of the "lower CPAP level"
P low
200
Name 2 symptoms of sepsis
Fever, chills, tachypnea, tachycardia, confusion, disorientation
200
Blood gas - pH 7.30, PaCO2 43, PaO2 45. What would you do to correct it? DOUBLE JEOPARDY!!!
Increase FIO2, Increase MAP
200
T high plus T low (T PEEP) is = _______ DOUBLE JEOPARDY!!
1 cycle
300
In order to increase your CO2, you must _______ your amplitude
decrease
300
Which is the length of time spent at P high
T high
300
How may sepsis be diagnosed (name 2 ways)
WBC count, elevated lactate (> 4), blood and urine may be tested for infection source
300
What rib expansion should you see on a chest x ray in order to confirm appropriate MAP
9-10 ribs
300
The "P low" setting is usually around
0-5 cm H2O
400
Name one setting that influences your PaO2
FIO2, MAP
400
Which is the release time allowing CO2 elimination
T low
400
When is your lactate considered "elevated"
> 4
400
Where is the bias flow usually set?
30-40 lpm
400
True or False - Patients cannot spontaneously breathe in BIVENT mode
False
500
When switching from conventional ventilation, what determines the HFOV MAP
Set it 5 above your conventional MAP
500
What is the usual time for T Low DOUBLE JEOPARDY!
0.2-0.8 seconds
500
Name 2 symptoms must be exhibited in order to diagnose sepsis
Body temp > 101F or below 96.8 HR > 90 bpm RR > 20 bpm Probable or confirmed infection
500
How do you know that you are giving enough amplitude? DOUBLE JEOPARDY!!
watch “wiggle” from clavicles to mid thigh level
500
In order to decrease your PaCO2 on BIVENT you must (choose one)
then increase your P-High and decrease your T-High together prolong your T-Low