Author Question: What is the maximal inspiratory pressure that should be targeted when using pressure-control ... (Read 75 times)

cherise1989

  • Hero Member
  • *****
  • Posts: 555
What is the maximal inspiratory pressure that should be targeted when using pressure-control ventilation in patients with ARDS?
 
  a. 20 to 25 cm H2O
  b. 25 to 30 cm H2O
  c. 30 to 35 cm H2O
  d. 35 to 40 cm H2O

Question 2

What ventilatory strategy has been found to be useful for avoiding barotrauma in the treatment of patients with ARDS?
 
  a. Prolonged expiratory time
  b. Permissive hypercapnia
  c. Inverse ratio ventilation
  d. Intermittent mandatory ventilation



kiamars2010

  • Sr. Member
  • ****
  • Posts: 341
Answer to Question 1

ANS: C
A maximal inspiratory pressure (30 to 35 cm H2O) is chosen that is likely to avert alveolar over-distention and prevent volume-associated lung injury.

Answer to Question 2

ANS: B
In patients with ARDS, it is desirable to maintain lower tidal volumes and thus avoid volutrau-ma. The goal of reducing tidal volume and controlling ventilatory rate is achieved at the expense of considerable CO2 retention in patients with ARDS. In most cases, the PaCO2 increases from 60 to 80 mm Hg and the arterial pH decreases to approximately 7.25. Subsequent metabolic compensation tends to correct the acidosis over several days. In some cases, the acidosis is more severe but appears to be well tolerated so long as tissue oxygenation is maintained. This ventila-tory strategy has been designated permissive hypercapnia.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Did you know?

The Food and Drug Administration has approved Risperdal, an adult antipsychotic drug, for the symptomatic treatment of irritability in children and adolescents with autism. The approval is the first for the use of a drug to treat behaviors associated with autism in children. These behaviors are included under the general heading of irritability and include aggression, deliberate self-injury, and temper tantrums.

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

Pope Sylvester II tried to introduce Arabic numbers into Europe between the years 999 and 1003, but their use did not catch on for a few more centuries, and Roman numerals continued to be the primary number system.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

For a complete list of videos, visit our video library