-
recommend PCV/IRV for pts requiring
high Fio2 >60% and PEEP >15high PIP >50Low Pao2 and DECREASED compliance (ARDS)
-
indications for HFV
ventilation at LOWER ____ and ______
-
indication for HFV
ventilation for pts with _____ or ____
- bronchopleural fistula (hole in the bronchos)
- ARDS
-
indications for HFV
treating ___ problems
air leak
-
indications for ILV
protect one lung from contamination or infection originating in the opposite lung
-
ILV requires direct access to each lung, commonly accomplished by
- DLT
- endobronchial tube
- carlens tube
-
to increase I:E ratio/alarm sounding you must increase
flow
-
PEEP/CPAP therapy is used to increase a pt's
FRC
-
PEEP/CPAP improves/increases
compliance
-
formula: flowrate=
(vt X rr) X (I+E)
-
protocols for pt with ARDS
- reduce VT to 6
- maintain ppl <30
-
protocols for pt with asthma
- reduce vt to 4-6
- set rr btwn 10-12
- consider permissive hypercapnea >co2
-
waveforms that plow FLOW, PRESSURE, VOLUME on the vertical against TIME
scalar graphics
-
waveforms that plow two of the primary ventilator parameters against EACH OTHER
loop graphics
-
if the loop on the graphic is FLAT on the BOTTOM, change baseline pressure by
increasing PEEP
-
if they give you a loop and its BROKEN. that means theres a
leak
-
if they give you a loop and has a over distention (BEAK), you can fix the problem by
decreasing VT
-
if the volume pressure loops is laying on its side that demonstrate low compliance, you can fix by adjusting
PEEP
-
if they give you a flow/vol look and the flow is low (decreased flow) then you can fix by giving a
bronchodilator
-
air trapping (auto peep) can be easily id when the exp flow does not return to zero baseline, you can fix by increasing the
flow
-
anectine (succinylcholine) is good for
intubation
-
RSBI formula and normal range
rr/vt
<100
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