Exam Preview for 2364: AUTO-PEEP: Calculation and Maneuver January

AUTO-PEEP: Calculation and Maneuver

Please note: exam questions are subject to change.

1. A patient receiving mechanical ventilation for status asthmaticus has developed elevated plateau pressures and hypotension. What actions should the authorized practitioner take? Administer sedatives, paralytics, or both Withhold any further bronchodilators Adjust the ventilator to increase the inspiratory time Place a smaller-diameter ET tube
2. An intubated patient with COPD in the ICU continues to have auto-PEEP. What is the most appropriate intervention for treating this auto-PEEP? Increase the patient's respiratory rate Administer bronchodilators Add set-PEEP to the patient’s ventilator settings Increase the patient’s minute ventilation
3. Detecting auto-PEEP in patients with asthma may be difficult. What is the best intervention to assist in detecting auto-PEEP in status asthmaticus? Monitoring plateau pressure and placing a larger-diameter ET tube Sedating the patient and increasing the respiratory rate Monitoring plateau pressure and placing a smaller-diameter ET tube Occluding the inspiratory port of the ventilator
4. What risks may arise when the respiratory therapist observes extensive episodes of bronchospasm and ventilator asynchrony in the patient? Auto-PEEP and the patient needs hyperinflation Auto-PEEP and the patient needs an increase in their respiratory rate Auto-PEEP and barotrauma, and the patient needs sedation and/or paralytics Auto-PEEP and barotrauma, and the patient needs a decrease in sedation or paralytics
5. The respiratory therapist preceptor is discussing ventilator management with a new graduate. The preceptor knows that grad has knowledge of auto-PEEP, when the new grad verbalizes the following: Auto-PEEP contributes to respiratory acidosis and increased filling pressures Auto-PEEP contributes to decreased pulmonary pressures and increased blood pressures Auto-PEEP contributes to increased cardiac output and improved oxygenation Auto-PEEP contributes to increased risks for bronchospasm, ventilator asynchrony, and barotrauma