HFNC
It best describes HFNC...
What is " Up to 60 L/min with precise FIO2 and heated humidification"
Acute Care applications for mask CPAP include...
What is
" Cardiogenic pulmonary edema and
Chronic treatment of OSA"
The following responses is a valid reason for recommending noninvasive ventilation...
What is
" Accessory muscle use with dyspnea and
Admitting diagnosis of COPD"
pH is 7.51
PCO2 is 23 mm Hg
HC03 is 22 mmol/L
What is this ABG?
What is " Respiratory Alkalosis "
A patient receiving mechanical ventilatory support begins to wake up from anesthesia, and the patient coughs and bites down on the endotracheal tube. Which alarm will be activated...
What is " High airway pressure "
Diseases may cause a thickening of the alveolar-capillary membrane and limit the diffusion gas exchange...
What is " interstitial lung disease "
The respiratory therapist recommends which type of medication to help prevent further asthma attacks (long term)
What is " Leukotriene modifier (Singulair) "
Indications for a pulmonary function test (PFT)...
What is
" I. Identify and quantify changes in pulmonary function.
II. Evaluate the need and quantify therapeutic effectiveness
III. Assess patients for risk of postoperative pulmonary complications
IV. Determine pulmonary disability "
Physiologic mechanisms of HFNC include...
What is
"
I. Precise FI02
II. Flushing of anatomic dead space
III. Overcomes upper airway resistance
IV. Complete ventilatory support
V. Increased pharyngeal pressure and lung volume"
Problems associated with CPAP for OSA...
What is
" claustrophobia.
eye irritation.
nasal pressure injury"
The patient interfaces that are used for noninvasive ventilation are...
What is
" Oronasal mask
Total face mask
Nasal pillows"
ph is 7.59
PC02 is 38 mm Hg
HCO3 is 38 mmol/L
Pa02 is 94 mm Hg
This ABG is ....
What is " Metabolic Alkalosis "
Ventilator Displays include...
What is
"Alphanumeric values
Trends
Waveforms and loops"
Alveolar Gas Equation can be calculated using the following formula.
PA02 = (Pb-PH20) x FIO2 - PaC02 divided by RQ
What is " know how to use it "
Oral candidiasis (fungus) is a potential side effect of which of the following medications
What is
" Flunisolide (Aerobid) and Beclomethasone "
Types of sleep apnea disorders...
What is
"
1. Central: Apnea due to a loss of ventilation effort.
2. Obstructive: Apnea due to blockage of the upper airway.
3. Mixed: A combination of the Central and Obstructive types "
HFNC Indications with supportive evidence...
What is
" Acute hypoxemic Respiratory Failure
Risk of postextubation hypoxemic respiratory failure"
CPAP is indicated for the following...
What is
" Lung expansion therapy
Acute cardiogenic edema
Obstructive sleep apnea"
The key components to choosing the patient NIV interface are...
What is
" Using the proper interface for the patient
Avoid an interface that is too large
Avoid an interface that is too smalls"
Interpret the following ABG...
ph is 7.20
PC02 is 70 mm Hg
Pa02 is 45 mm Hg
HCO3 is 24 mmoL/L
What is " Respiratory Acidosis with moderate hypoxemia "
The basic ventilatory patterns are....
What is
"I. VC-CMV
II. VC-IMV
III. PC-CMV
IV. PC-IMV
V. PC-CSV "
A 24-year-old female patient presents complaining of extreme fatigue. The blood work shows a hematocrit of 30% It is likely she has...
What is " Anemia "
Disadvantages of pMDI...
What is
" I. Patient Coordination is essential
II. Patient actuation is needed.
III. High doses are difficult to deliver
IV. Not all medications are available in pMDI format "
Values would you expect to be decreased in a patient with emphysema...
What is " FEV1/FVC "
HFNC can be used with a patient having apnea.
True or False.
What is " False"
A patient has acute pulmonary edema from left-sided heart failure and acute hypoxemic respiratory failure that has not responded to conventional pharmacological and oxygen therapy. As the next line of therapy, the respiratory therapist should recommend...
What is " continuous positive airway pressure "
All of the following should be considered for improved patient synchrony with NIV...
What is
" appropriate fitting of the mask.
rise time adjustment to individual patient comfort and disease,
minute ensure proper flow cycle setting"
Interpret the following ABG...
ph is 7.23
PC02 is 40 mm Hg
HCO3 is 18 mmol/L
What is " Metabolic acidosis "
Best defines a ventilator...
What is " A machine that is designed to automatically perform all or part of the work required to ventilate a patient "
Oxygen device with provide a stable Fi02 delivery and guarantee that all the patient's inspiratory needs are met...
What is " Air-entrainment mask "
A respiratory therapist explains and directs their patient to take the deepest breath possible and then exhale completely as fast and as forcefully as possible.
This will be able to measure the patient's...
What is " FVC "
Overtightening of the headgear straps for a nasal mask may lead to...
What is " facial skin irritation "
Respiratory Therapists should evaluate the patient being treated with NIV by ensuring that...
What is
" the patient is assessed for pressure ulcers "
A reason for ventilator alarms...
What is " to bring events to the attention of the clinician "
Indications for Helium/Oxygen Therapy (He02) therapy...
What is
" I. Post extubation stridor
II. Severe asthma
III. Obstructive tumors
IV. Foreign body aspiration
V. Partial vocal cord paralysis "
A respiratory therapist should monitor patients during postural drainage for...
What is
" I. Bronchospasm
II. Acute Hypotension
III. Vomiting
IV Hypoxemia "
Application of NIV...
What is
"Choose a ventilator capable of meeting the patients needs.
Choose correct interface.
Explain the therapy to the patient and family"
Annotation is used to represent the arterial concentration of oxygen....
What is " Pa02 "
Complications of NIV are
What is
"I. Leaks
II. Facial skin breakdown
III. Mask discomfort
IV. Eye irritation
V. Sinus congestion"
You are working with an E cylinder. The cylinder has a hissing noise and gas is escaping at the yoke of the cylinder.
What are the possible solutions to correct the situation...
What is
" Reset the regulator
Replace the missing or damaged washer
Release the flow of gas from the tank "
The primary goal of NIV in the acute care setting is to do...
What is " avoid invasive ventilation "
A patient is ordered a nasal cannula at 4 liters per min and is transferred from the emergency room to the general patient floor.
An oxygen E cylinder is available for transport. The cylinder pressure is 1100 psig. How many minutes will this tank last...
Calculate it!
What is " 77 minutes "
A patient is receiving 40% oxygen by air-entrainment mask. The flow rate of the oxygen flowmeter is set to 8 lpm. What is the total flow...
What is " know this "
The patient is breathing room air (FI02 of 0.21) and the arterial blood gas reveals a Pa02 is less than 40 mmHg.
This level of hypoxemia...
What is " Severe "
Factors should be considered when selecting an interface for oxygen therapy...
What is "
I. Patient mobility
II. Cost
III. Humidity level
IV. FI02 "
The complications and hazards of oxygen therapy...
What is "
A. Oxygen toxicity
B. Hyperoxemia
C. Nitrogen washout causing atelectasis
D. Oxygen-induced hypoventilation "
Bubble humidifiers can efficiently function at...
What is " A gas flow between 2 to 6 lpm "
A nonrebreathing mask should be set at what oxygen flow rate...
What is " 10 to 15 liters per minute "
The therapeutic goals of aerosol therapy...
What is
"
I. Delivery of adequate humidity when spontaneously breathing medical gases for therapeutic purposes.
II. Promoting bronchial hygiene
III. Providing adequate humidification in the presence of an artificial airway during noninvasive mechanical ventilation
IV. Thinning dried and/or thick secretions "