RCP 500 Week 1 CH. 19 & 1 Questions With Complete
Solutions
An increase in PIP and Pplat would indicate? Correct Answer
Lungs are getting stiff, lungs are getting more pressure to inflate.
Low compliance: ARDS, pulmonary edema, fibrosis,
pneumonia, atelectasis.
An increase in PIP with no change in Pplat would indicate
which possibilities? Correct Answer Condensation in the
tubing.
Obstruction in the tubing.
Condensation or secretion in the HME.
Baseline pressures higher than aero are also called? Correct
Answer PEEP.
BiPAP settings: Correct Answer IPAP: 10
EPAP: 5
RR: 10
I-Time:
Rise:
Can we place NIPPV or CPAP on a patient who is sedated and
paralyzed? Why? Correct Answer No, the patient is not going
to breathe spontaneously. Patient needs to be able to protect its
airway.
Cardiogenic pulmonary edema uses which modality? Correct
Answer Mask CPAP with oxygen may expand fluid-filled
alveoli. Resulting in *increased oxygenation, FRC, and lung
, compliance.* It will *reduce WOB, invasive ventilation, and
shorter ICU stays* with an *improved mortality rate.*
Complications for NIV: Correct Answer Mask discomfort,
Excessive leaks, Pressure sores, dryness, aspiration, mucous
plugging, or gastric distention.
Contraindications for NIPPV: Correct Answer Respiratory
arrest, need for intubation, Hemodynamic instability, Inability to
protect the airway, Excessive secretions, Agitated and confused
patients, Facial deformities or conditions that prevent the mask
from fitting, Uncooperative or unmotivated patients, or Brain
injury with unstable respiratory drive.
For CSA/OSA, what type of therapy should be used for these
patients? Correct Answer *CPAP* = CSA/OSA.
If no improvement - NIPPV.
HCO3 normal values: Correct Answer 22-26
NIV is considered the standard of care for which disease
process? Correct Answer *COPD*, Asthma, CF, Nocturnal
Hypoventilation, Hypoxemic Respiratory Failure, Community-
Acquired pneumonia, and Cardiogenic Pulmonary Edema.
Normal Vital Signs: Correct Answer HR: 60-100.
RR: 12-20.
BP: 90/140 - 60/90.
SPO2: 92<
PaCO2 normal values: Correct Answer 35-45
Solutions
An increase in PIP and Pplat would indicate? Correct Answer
Lungs are getting stiff, lungs are getting more pressure to inflate.
Low compliance: ARDS, pulmonary edema, fibrosis,
pneumonia, atelectasis.
An increase in PIP with no change in Pplat would indicate
which possibilities? Correct Answer Condensation in the
tubing.
Obstruction in the tubing.
Condensation or secretion in the HME.
Baseline pressures higher than aero are also called? Correct
Answer PEEP.
BiPAP settings: Correct Answer IPAP: 10
EPAP: 5
RR: 10
I-Time:
Rise:
Can we place NIPPV or CPAP on a patient who is sedated and
paralyzed? Why? Correct Answer No, the patient is not going
to breathe spontaneously. Patient needs to be able to protect its
airway.
Cardiogenic pulmonary edema uses which modality? Correct
Answer Mask CPAP with oxygen may expand fluid-filled
alveoli. Resulting in *increased oxygenation, FRC, and lung
, compliance.* It will *reduce WOB, invasive ventilation, and
shorter ICU stays* with an *improved mortality rate.*
Complications for NIV: Correct Answer Mask discomfort,
Excessive leaks, Pressure sores, dryness, aspiration, mucous
plugging, or gastric distention.
Contraindications for NIPPV: Correct Answer Respiratory
arrest, need for intubation, Hemodynamic instability, Inability to
protect the airway, Excessive secretions, Agitated and confused
patients, Facial deformities or conditions that prevent the mask
from fitting, Uncooperative or unmotivated patients, or Brain
injury with unstable respiratory drive.
For CSA/OSA, what type of therapy should be used for these
patients? Correct Answer *CPAP* = CSA/OSA.
If no improvement - NIPPV.
HCO3 normal values: Correct Answer 22-26
NIV is considered the standard of care for which disease
process? Correct Answer *COPD*, Asthma, CF, Nocturnal
Hypoventilation, Hypoxemic Respiratory Failure, Community-
Acquired pneumonia, and Cardiogenic Pulmonary Edema.
Normal Vital Signs: Correct Answer HR: 60-100.
RR: 12-20.
BP: 90/140 - 60/90.
SPO2: 92<
PaCO2 normal values: Correct Answer 35-45
