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Author Question: If lung compliance decreases while a patient is receiving mechanical ventilation with ... (Read 22 times)

Coya19@aol.com

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If lung compliance decreases while a patient is receiving mechanical ventilation with pres-sure-controlled continuous mandatory ventilation (PC-CMV), which of the following would oc-cur?
 
  a. Peak pressure increases.
  b. Peak pressure decreases.
  c. Tidal volume increases.
  d. Tidal volume decreases.

Question 2

In which of the following situations would NIV be tried?
 
  a. Patient in whom blood pressure is 65/35, heart rate is 150 beats/min, and respiratory frequency is 34 breaths/min
  b. Patient who nearly drowned who has co-pious amounts of white, frothy secretions
  c. Patient with chronic obstructive pulmo-nary disease (COPD) and right lower-lobe pneumonia with respiratory acidosis and increased work of breathing (WOB)
  d. A 5-year-old child who has aspirated a piece of chicken and is having trouble breathing



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guyanai

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Answer to Question 1

ANS: D
Reduced compliance results in lower volumes during pressure-controlled continuous mandatory ventilation (PC-CMV).

Answer to Question 2

ANS: C
In many cases, clinicians prefer using noninvasive positive pressure ventilator support in the form of bilevel positive airway pressure (bilevel PAP) rather than CPAP for patients with Raw-induced auto-PEEP. Bilevel PAP also is the method most often used to treat acute-on-chronic respiratory failure.




guyanai

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