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Res 250 Monitoring and Management of the Patient in the ICU

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
In low-perfusion patients, what site would be best for monitoring SpO2?   show
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Strategies for reducing the risk for colonization and VAP include all of the following except ____.   show
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show Suctioning  
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show 60  
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show False  
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show True  
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show Shear stress  
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show 0.3 to 0.5 J/L  
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show low FIO2  
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You patient has a P(A-a.O2 of 200 mm Hg while breathing 100% oxygen. What is the estimated percentage shunt?   show
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show increased peak pressures  
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Ventilator-associated pneumonia (VAP) refers specifically to a pneumonia acquired by a patient receiving mechanical ventilation 48 hours after intubation.   show
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Which of the following is NOT associated with a decreased end-tidal PCO2?   show
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The term ____, in general, is used when referring to lung injury occurring in humans that has been identified as a consequence of mechanical ventilation.   show
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show the flow-time curve on the ventilator graphic  
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show False  
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show Emphysema  
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show Hypothalamus tumor  
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Prolonged alveolar over-distention from mechanical ventilation leads to the release of inflammatory mediators from the lungs that can cause failure of other organs of the body. This response has been termed ____.   show
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Transcutaneous oxygen electrodes are attached to the skin surface with a double-sided adhesive ring. The electrode is heated to ____.   show
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What is the normal range for VDS/VT?   show
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show variations in patients' pulse rate  
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show True  
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show True  
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Which of the following parameters is NOT used in calculating the Murray lung injury score of a patient with acute lung injury?   show
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More recent evidence demonstrates that the repeated opening and closing of lung units generates shear stress, with direct tissue injury at the alveolar and pulmonary capillary level as well as the loss of surfactant from these unstable lung units.   show
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show 5 to 15 mm Hg  
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What parameter is considered to be the most accurate and reliable measure of oxygenation efficiency?   show
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What is the upper limit for plateau airway pressure that is recommended during mechanical ventilation?   show
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show True  
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Which of the following breathing patterns suggests respiratory muscle decompensation?   show
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show 10 to 15 ml/kg  
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show Greater than 400  
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Chemical mediators produced in the lung during ventilator mismanagement can leak into the blood vessels. The pulmonary circulation then carries these stimulating substances to areas the body sets up an inflammatory reaction to the kidneys, gut, and liver.   show
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A condition that can be accelerated by mechanical ventilation is ____. It can be detected by a hyperresonant percussion note and absence of breath sounds on the affected side of the thorax.   show
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Created by: Cam1228
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