Page 271 - Clinical Application of Mechanical Ventilation
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Initiation of Mechanical Ventilation  237


                          9. Positive  end-expiratory  pressure  (PEEP)  may  be  indicated  in  patients  with  decreased  _______  and
                            presence of _______.
                                   A.  tidal volume, chronic hypercapnia
                                   B.  functional residual capacity, refractory hypoxemia
                                   C.  vital capacity, acute hypercapnia
                                   D. tidal volume, refractory hypoxemia

                         10. At constant tidal volume and frequency, increasing the inspiratory flow rate will lead to a _______
                            inspiratory time (I time) and _______ expiratory time (E time).
                                   A.  longer, longer                C.  shorter, longer
                                   B.  longer, shorter               D. shorter, shorter

                         11. What should be the minimum flow rate for a minute volume of 12 L/min and an I:E ratio of 1:4?
                                   A.  40 L/min                      C.  60 L/min
                                   B.  50 L/min                      D. 70 L/min

                         12. If the desired I:E ratio is 1:3, what should be the I time %?
                                   A.  25%                           C.  35%
                                   B.  40%                           D. 20%

                         13. The _______ and _______ are two alarms that are to detect circuit disconnection.

                                   A.  low pressure, high pressure
                                   B.  high PEEP, high volume
                                   C.  low volume, low PEEP
                                   D. low pressure, low volume

                         14. Which of the following is not a common potential complication of positive pressure ventilation?
                                   A.  hypertension
                                   B.  decrease in cardiac output
                                   C.  accidental patient disconnection
                                   D. barotrauma

                        15 to 18. Match the conditions of mechanical ventilation with respective examples of the hazards and com-
                            plications of mechanical ventilation.


                               Condition                                  Examples
                               15.	 Related	to	pressure	and	volume	       A.	 Circuit	disconnection

                               16.	 Related	to	patient	condition          B.	 Barotrauma

                               17.	 Related	to	equipment                  C.	 Inappropriate	ventilator	settings
                               18.	 Related	to	medical	professionals      D.	 Physical	and	psychologic	trauma












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