A patient receiving continuous mandatory ventilation in the ...

[folubunmi]

A patient receiving continuous mandatory ventilation in the assist-control mode develops au-to-PEEP. Which of the following general approaches would you consider to minimize the effects of auto-PEEP in this patient?
 
  1. Increasing expiratory time
  2. Applying PEEP
  3. Switching ventilating mode to synchronized intermittent mandatory ventilation
  a. 1 and 2 only
  b. 1 and 3 only
  c. 2 and 3 only
  d. 1, 2, and 3

Question 2

A patient receiving continuous mandatory ventilation in the assist-control mode develops au-to-PEEP. Which of the following changes in ventilatory patterns would you consider to minimize the effects of auto-PEEP in this patient?
 
  1. Decreasing the rate or increasing VT
  2. Using low-rate synchronized intermittent mandatory ventilation
  3. Decreasing the peak inspiratory flow
  4. Lowering the VT and letting the PaCO2 rise
  a. 2 and 4 only
  b. 3 and 4 only
  c. 1, 2, and 3 only
  d. 1, 2, and 4 only

[mceravolo]

Answer to Question 1

ANS: C
Box 48-11 summarizes methods for minimizing the effects of auto-PEEP.

Answer to Question 2

ANS: D

[folubunmi]

Excellent

[pangili4]

TYSM