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Author Question: A chronic obstructive pulmonary disease (COPD) patient in respiratory failure is receiving ... (Read 30 times)

EY67

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  • Posts: 531
on: Jul 16, 2018
A chronic obstructive pulmonary disease (COPD) patient in respiratory failure is receiving venti-latory support in the volume-targeted intermittent mandatory ventilation mode at a rate of 6/min.
 
  You measure an auto-PEEP level of 9 cm H2O. Which of the following would you recommend to decrease the effects of auto-PEEP in this patient?
  a. Decreasing the rate and increasing VT.
  b. Lowering the VT and letting the PaCO2 rise.
  c. Applying 4 to 6 cm H2O PEEP.
  d. Decreasing the peak inspiratory flow.

Question 2

To prevent atelectasis and improve gas exchange, most thoracic surgery patients placed on venti-latory support receive which of the following?
 
  a. 0 cm H2O PEEP
  b. 5 cm H2O PEEP
  c. 8 cm H2O PEEP
  d. 10 cm H2O PEEP


jaykayy05

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Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: C

Answer to Question 2

ANS: B
In terms of ventilator initiation, initial PEEP/CPAP levels usually are 5 cm H2O.


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