Author Question: The level of applied PEEP should be set at what point on the pressure-volume curve? a. At the ... (Read 73 times)

lindiwe · **on:** Jul 16, 2018

The level of applied PEEP should be set at what point on the pressure-volume curve?

a. At the upper inflection point of the infla-tion curve.
b. Above the lower inflection point of the deflation curve.
c. At the peak inspiration point of the infla-tion curve.
d. Above the upper inflection point of the deflation curve.

Question 2

An absolute contraindication to PEEP is which of the following?

a. Emphysema
b. Bronchopleural fistula
c. Untreated tension pneumothorax
d. Elevated intracranial pressures

javimendoza7 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: D
The level of applied PEEP should be set 3-4 cm H2O above the upper inflection point of the de-flation limb of the P-V curve to help maintain an open lung.

Answer to Question 2

ANS: C
An absolute contraindication to PEEP is a tension pneumothorax. PEEP must be used with care in patients with bronchopleural fistulas and elevated intracranial pressures. PEEP also must be used with care in patients with emphysema, because it may increase hyperinflation, which can lead to compression of adjacent capillaries.