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RES SUPPORT 2
Question | Answer |
---|---|
Describe the changes is delivered volume with the following changes in the patient's lung compliance and airway resistance (pressure remains the same) DECREASE COMPLIANCE | Volume Change DECREASE |
Describe the changes is delivered volume with the following changes in the patient's lung compliance and airway resistance (pressure remains the same) INCREASE COMPLIANCE | Volume Change INCREASE |
Describe the changes is delivered volume with the following changes in the patient's lung compliance and airway resistance (pressure remains the same) INCREASE AIRWAY RESISTANCE | VOLUME CHANGE DECREASE |
Describe the changes is delivered volume with the following changes in the patient's lung compliance and airway resistance (pressure remains the same) DECREASE AIRWAY RESISTANCE | VOLUME CHANGE INCREASE |
Describe the changes is delivered volume with the following changes in the patient's lung compliance and airway resistance (pressure remains the same) DECREASE COMPLIANCE,INCREASE RESISTANCE | DECREASE Volume Change |
Describe the changes is delivered volume with the following changes in the patient's lung compliance and airway resistance (pressure remains the same) INCREASE COMPLIANCE,DECREASE RESISTANCE | INCREASE Volume Change |
What situations would cause the system to lose pressure? | Leak,Insufficient Flow |
Excessive pressure could be caused by? | Obstruction Excessive Flow |
If the PT is trying to initiate a breath but the machine will not cycle into inspiration, what adjusments should the therapist make to correct the problem? | Adjust Sensitivity Tight Seal Aroud Mouthpiece |
While receiving IPPB therapy, the PT is having a problem with the machine not cycling off. What would cause this to occur? | LEAK, Mouthpiece/Mask Seal, Cuff Leaking Fenestrated Trach Tube Open Loose Equipment Connection |
List the purpose of USING CPAP | Increase Oxygenation, Support Oxygenation at Lower Fi02 |
what types of PT might benefit from USE OF CPAP | CO Poisoning, Pneumonia, Post-OP Atelectasis |
NASAL CPAP This device is useful for what type of PT? | Useful with Neonates since they are obligate nose breathers |
NASAL CPAP What happens to the CPAP level if the PT opens his mouth? | Can lose CPAP |
The Respiratory Therapist notices that a CPAP unit is losing pressure. What could cause this problem to occur? | Readjust Nasal Prongs |
What should the therapist look for as a possible cause of increased pressure? | Obstruction With excessive flow, a continuous venting of the pop-off Vavle will Occur |
What kind of PT would be a candidate for a non-invasive pressure ventilation? | COPD,CHF,Pulmonary Edema Neuromuscular Disease,Restrictive Chest Wall Disease,Central/Obstructive Sleep Apnea |
What kind of PT would NOT be a candidate for a non-invasive pressure ventilation? | Acute Respiratory Failure |
Non-invasive postive pressure ventilation is contraindicated for a PT who has _____? | PT with Dysphagia |
Expiratory positive airway pressure helps to improve____? | Oxygenation |
Inspiratory positive airway pressure is used to help maintain ______? | PT Airway inObstructive Sleep Apnea |
In th ST mode, timed breaths are controlled by what two parameters? | Respiratory Rate and an Inspiratory Time |
In the Timed mode, can the PT initiate additional breaths? | PT cannot Trigger Additional Breaths |
What level of pressure generally helps aPT with Obstructive sleep apnea? | Generally find relief with EPAP pressures of 5-10 CmH20 |
PT with Neromuscular disease usually do well with pressures at what level? | Usually do well with Inspiratory Pressures of 10-15 cmH20 |
How is Oxygen supplied to the PT using this type of device? | must be titrated into the system to achieve a desired Fio2 |
The Respiratory is following established protocols in monitoring a PT using his incentive spirometer. The PT exhales completely then places the mouthpiece in his mouth and inhales maximally as he performs his therapy. The therapist should recommend that | Inhale Maximally from resting Exhalation |
The Primary indication for sustained maximal inspiration is to | Treat Collapsed Alveoli |
A PT enters the emergency department complaining od dyspnea and orthopnea. A quick check of her oxygenation status with pulse Oximetry reveals a saturation of 89%. Which of the following positions would facilitate oxygenation? | Fowler's |
After undergoing aortic aneurrysm repair, a female PT is unable to reach her pre-operative incentive spriometry goal. The therapist sets goal to lower level and the PT complains of pain when performing the therapy. The therapist should | Have the PT splint her chest with a pillow during therapy |
During intermittent postive breathing therapy, a PT is achieving a pressure level of 22 cmH20 at a frequency of 17-19bpm. PT complains of lightheadedness with tingling sensations in the fingers of his left wrist. the therapist should instruct the PT to | Decrease his breathing rate and pause between breaths |
A new order for IPPB therapy is received for a PT who is recovering from a C-section delivery.Respiratory therapist instructs the PT on proper technique, he notices that the pressure manometer is hesitating during inspiration.Therapist should corect how | Increase the flow |
The Oxygen concentration supplied to PT while performing intermittent positive breathing would increase by making which of the following changes? | Increase the Pressure Decrease the Terminal Flow |
While administering intermittent positive pressure therapy with a Bird Mark 7 ventilator, the respiratory therapist determines that the volume delivered to the PT needs to be increased. This can be accomplished by increasing the. | Inspiratory Pressure |
Terminally ill PT presents to the ED in servere pain and respiratory distress.PT does not want to be intubated,Physician support this PT. Which device is best for the therapist to recommend? | Non-invasive Ventilation |
PT on Bi-level POS-Pressure ventilation is determined to have an arterial oxygen saturation ranging between 84-88% RR at 12-14bpm. The insp-pressure level is set at 17cmH20 with an Exp-Pres level of 5cmh20. Which adjustments should be made? | Increase EPAP to 8 cmH20 |