When a patient is initially started on mechanical ventilation ...

[scienceeasy]

When a patient is initially started on mechanical ventilation common orders from the physician in the patient's chart include which of the following? a. FiO2 b. Mode c. Sensitivity d. Tidal volume
 
  a. 1 and 2 only
  b. 1, 2, and 4 only
  c. 3 and 4 only
  d. 1, 2, 3, and 4

Question 2

Which of the following are primary goals of mechanical ventilation?
 
  1. Adequate alveolar ventilation (VA)
  2. Maintaining adequate hemoglobin levels
  3. Restoring acid-base balance
  4. Maintaining adequate alveolar oxygenation
  a. 1 and 3 only
  b. 1, 3, and 4 only
  c. 2 and 4 only
  d. 2, 3, and 4 only

[kbennett34]

Answer to Question 1

ANS: B
Initial ventilator settings include choice of mode, tidal volume, rate, FiO2, and PEEP. The respir-atory therapist must set the trigger level, inspiratory flow or time, alarms and limits, backup ven-tilation, and humidification.

Answer to Question 2

ANS: B
Primary goals of mechanical ventilation are: adequate alveolar ventilation (VA), maintaining tissue oxygenation, FiO2, PEEP, and MAP, restoring acid-base balance, reducing WOB and myocardial work, providing PEEP/CPAP to recruit lung, lung protective strategy: Small VT and appropriate PEEP levels and maintaining Pplat less than 30 cm H2O.