Author Question: Ventilatory support strategies likely to result in auto-positive end expiratory pressure (PEEP) ... (Read 31 times)

CBme · **on:** Jul 16, 2018

Ventilatory support strategies likely to result in auto-positive end expiratory pressure (PEEP) in-clude which of the following?

1. Continuous mandatory ventilation (CMV) assist-control
2. Inverse ratio ventilation (IRV)
3. Low-rate intermittent mandatory ventilation
4. Low inspiratory flows
a. 1 and 3 only
b. 1, 3, and 4 only
c. 3 and 4 only
d. 2, 3, and 4 only

Question 2

Which of the following is the recommended tidal volume for mechanical ventilation in patients with COPD?

a. 4 to 8 ml/kg
b. 3 to 5 ml/kg
c. 6 to 8 ml/kg
d. 10 to 12 ml/kg

nital · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: B
High-risk ventilatory support techniques include any method that increases the I:E ratio, espe-cially CMV at a high rate or in the assist-control mode, and approaches that purposefully shorten expiratory time, such as IRV or the use of low inspiratory flow.

Answer to Question 2

ANS: C
The currently acceptable tidal volume for mechanically ventilated patients in acute respiratory failure with normal lungs or with COPD is 6 to 8 ml/kg.