WorksheetsVent Modes Clinic (2500 M4, M5, M6)
Total questions: 17
Worksheet time: 34mins
During AC/PC ventilation, a patient develops bronchospasm. How will this most likely be reflected on the ventilator?
Tidal Volume will Increase
Peak Inspiratory Pressure will Increase
Tidal Volume will Decrease
Peak Inspiratory Pressure will Decrease
Which of these ventilator modes provides full ventilator support?
CPAP: PEEP: +10
PSV: PS: 10, PEEP: +5
SIMV-VC: Vt: 450, f: 6, PS:10, PEEP: +6
SIMV-PC: Pi: 20,
f: 12, PS: 5, PEEP: +4
Which trigger can begin inspiration in patient-triggered breaths?
Flow
Time
Volume
Ramp
Which parameter can NOT be set when delivering breaths via Volume Control?
Flow
Inspiratory Time (Ti)
Tidal Volume (Vt)
PEEP
Which ventilator mode is NOT acceptable for initial set-up?
SIMV
AC
CMV
PSV
While ventilating a patient on AC/VC -- you notice the Peak Inspiratory Pressure has increased, while the delivered Tidal Volume has remained the same. What could this represent?
Lung Compliance has increased
Airway Resistance has increased
Airway Resistance has decreased
Pressure Support has increased
While assessing your patient's pressure waveform you notice "scooping." What do you recommend?
Increase Pressure Support
Increase Tidal Volume
Increase PEEP
Increase Flow
When utilizing Pressure Control breath delivery, which parameter can NOT be set?
Flow
Inspiratory Time (Ti)
Inspiratory Pressure (Pi)
Respiratory Rate (f)
Every breath from the vent is time or patient triggered, pressure limited, and time cycled. Which ventilator mode does this describe?
Volume Controlled Synchronized Intermittent Mandatory Ventilation (SIMV - VC)
Continuous Positive Airway Pressure (CPAP)
Assist Control / Pressure Control (AC/PC)
Pressure Support Ventilation (PSV)
A patient is on CPAP +12 cmH2O on an FiO2 of 0.50. Their condition is worsening and the decision is made to intubate. Which initial settings are most appropriate?
AC-PC, Pi: 15, f: 14, FiO2: 0.40,
PEEP: +6
PSV,
PS: 10 cmH2O, FiO2: 0.50,
PEEP: +12
AC-VC, Vt: 450,
f: 18, FiO2: 0.50,
PEEP: +12
SIMV-PC, Pi: 20,
f: 6, FiO2: 0.50,
PEEP: +12
While ventilating a patient with AC/VC mode, it is noted that the Peak Inspiratory Pressure and Plateau Pressure have both increased throughout the day. Which recommendation is most appropriate?
Immediate needle decompression
Increase Tidal Volume
Increase PEEP
Give Albuterol 2.5mg via nebulizer
During AC/VC ventilation, a patients lung compliance is improving. Which of the following will occur?
Tidal Volume will Increase
Peak Inspiratory Pressure will Increase
Tidal Volume will Decrease
Peak Inspiratory Pressure will Decrease
The decision is made to intubate a 53-year-old male who is 70 inches tall. He was previously on a 2L NC, but became obtunded and unable to protect his airway. Glasgow Coma Score is 5.
Which ventilator settings are most appropriate?
AC-PC, Pi: 15, f: 14, FiO2: 0.40,
PEEP: +6
AC-PC, Pi: 25, f: 12, FiO2: 0.28,
PEEP: +4
PSV: PS: 10,
FiO2: 0.28,
PEEP: +5
SIMV-PC, Pi: 20,
f: 6, FiO2: 0.50,
PEEP: +12
Every breath from the vent is patient triggered and flow cycled. Which ventilator mode does this describe?
Volume Controlled Synchronized Intermittent Mandatory Ventilation (SIMV - VC)
Continuous Positive Airway Pressure (CPAP)
Assist Control / Pressure Control (AC/PC)
Pressure Support Ventilation (PSV)
Every breath from the vent is patient or time triggered and time cycled. Which ventilator mode does this describe?
Volume Controlled Synchronized Intermittent Mandatory Ventilation (SIMV - VC)
Continuous Positive Airway Pressure (CPAP)
Assist Control / Pressure Control (AC/PC)
Pressure Support Ventilation (PSV)
Every breath from the vent is patient or time triggered and volume cycled. Which ventilator mode does this describe?
Pressure Controlled Synchronized Intermittent Mandatory Ventilation (SIMV - PC)
Continuous Positive Airway Pressure (CPAP)
Assist Control / Volume Control (AC/VC)
Pressure Support Ventilation (PSV)
A patient's SpO2 is 90% and respiratory rate 26 receiving NIV at the following parameters:
IPAP: 10
EPAP: 5
Rate: 12
FiO2: 40%
You receive the following ABG results:
pH: 7.32, PaCO2: 56, PaO2: 64, HCO3: 24
Which recommendation is most appropriate?
Increase the rate to 18
Increase the EPAP to 7
Increase the IPAP to 16 and the EPAP to 6
Increase the FiO2 to 50%
