Duke PA Acute Respiratory Distress/ Respiratory Failure
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Acute hypoxemic respiratory failure that occurs after a direct or indirect pulmonary insult that cannot be attributed to heart failure | ARDS
🗑
|
||||
| ARDS chest x-ray is characterized by | bilateral widespread pulmonary infiltrates
🗑
|
||||
| ARDS is characterized by PaO2/FIO2 <= ____ | 200
🗑
|
||||
| Aspiration, Lung contusion and trauma, Inhalational injury, Pneumonia, Near -drowning | primary causes of ARDS
🗑
|
||||
| Sepsis, Pancreatitis, Hypotension (shock) | secondary causes of ARDS
🗑
|
||||
| associated with a poorer outcome | secondary causes of ARDS
🗑
|
||||
| upon auscultation of lungs in ARDS you will hear | crackles
🗑
|
||||
| Indications for Mechanical Ventilation typically involves a PaO2 <__mmHg, SaO2 <90% with a elevated PCO2 | 60
🗑
|
||||
| Treatment of ARDS induced hypoxemia usually requires | positive pressure ventilation
🗑
|
||||
| ARDS: Mechanical Ventilation Lung Protective Strategies use | small tidal volumes
🗑
|
||||
| ARDS: Mechanical Ventilation Lung Protective Strategies consider _____ to minimize elevated lung pressures | High Frequency Ventilation
🗑
|
||||
| Normal mechanical ventilator tidal volume (___ ml/kg IBW) | 10-15
🗑
|
||||
| Large tidal volumes cause _____ in stiff lungs | high inflation pressures
🗑
|
||||
| mechanical ventilator tidal volume in ARDS patient (___ ml/kg IBW) | 6
🗑
|
||||
| Positive End Expiratory Pressure | PEEP
🗑
|
||||
| Used to keep alveoli open during the exhalation phase of respiration | PEEP
🗑
|
||||
| Maintains the Functional Residual Capacity (FRC). The FRC prevents atelectasis | PEEP
🗑
|
||||
| Too much PEEP can lead to | decreased cardiac output and high airway pressure
🗑
|
||||
| ARDS has a ___% mortality rate | 30-40
🗑
|
||||
| ARDS has a 90% mortality rate in those with | sepsis
🗑
|
||||
| Respiratory dysfunction resulting in abnormal oxygenation and ventilation severe enough to threaten the function of vital organs | respiratory failure
🗑
|
||||
| Arterial blood gas values consistent with RF: PaO2 value < 60 mmHg, PaCO2 value > __ mmHg, SaO2 value < 90% | 50
🗑
|
||||
| The tip of the endotracheal tube should rest at the level of the | aortic arch
🗑
|
||||
| The tip of the endotracheal tube should rest at the level of the | 2 cm above the carina
🗑
|
||||
| Does not allow the patient to breathe between ventilator delivered breaths | Controlled Mechanical Ventilation
🗑
|
||||
| Ideal mode for patients that are sedated and paralyzed | Controlled Mechanical Ventilation
🗑
|
||||
| low VT and respiratory rates – allow hypercapnia – minimize high inflation pressures – oxygenation is maintained) | permissive hypercapnia
🗑
|
||||
| method employed to decrease the incidence of barotrauma | permissive hypercapnia
🗑
|
||||
| results when the lung can no longer accomplish adequate gas exchange, often fatal if left untreated | acute respiratory failure
🗑
|
||||
| respiratory compromise is evident whe the PaO2 is < __mm Hg on room air | 60
🗑
|
||||
| respiratory compromise is evident whe the PaCO2 is > __mm Hg | 45
🗑
|
||||
| patients in respiratory failure with evidence of severe distress, mental deterioration, or hemodynamic instability usually require _____ | intubation and mechanical ventilation
🗑
|
||||
| the adequacy of ventilator settings needs to be determined with repeated ____ | arterial blood gas levels
🗑
|
||||
| the current preferred mode of ventilation is | assisted-control ventilation
🗑
|
||||
| in ____ the clinician sets the tidal volume and the lowest allowed respiratory rate, however each spontaneous breath is supported | assisted-control ventilation
🗑
|
||||
| considered the more physiologic ventilatory mode and is associated with a decreased work of breathing | assisted-control ventilation
🗑
|
||||
| the most popular mode of ventilation in the 1980's. often associated with asynchrony of spontaneous breaths and assisted breaths | intermittent mandatory ventilation
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
bwyche
Popular Medical sets