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Quiz?

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 Ventilation “CO2 wash out”

To wash out CO2 in a mechanical ventilated patient I will

adjust the:

A. FiO2 and RR
B. Vt, PEEP and RR
C. RR, PEEP and FiO2
D. Vt and RR

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 Oxygenation

To increase SpO2 in a mechanical ventilated patient I will

adjust the:

A. FiO2 and RR
B. PEEP and FiO2
C. RR, PEEP and FiO2
D. Vt and RR

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 Plateau Pressure?

P
C

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 Compliance?

Transthoracic Compliance =

A. C = Vt x RR / PEEP
B. C = Pplt / VT
C. C = Vt / Pplt - PEEP
D. C = Vt / Pk - Pplt

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 FiO2

FiO2 at the mount of Everest =

A. 25%
B. 15%
C. 21%
D. 12%

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 What are the functions of any type of
mechanical ventilation?

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 Mechanical ventilation

Oxygenation Ventilation

•FIO2 •RR
•PEEP • Vt
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 P
•Shunting and dead space.
•Decrease CO and Renal output.
•Nosocomial pneumonia.
•Increased ICP.

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 R=P/Q

Air way
C=V/P

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 P

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 VILI •Barotrauma.
•Oxygen toxicity .
•Volutrauma.
•Atelectrauma.
•Biotrauma.
•Translocation of the cells.
P

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 P

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 Peak

Plateau

Air way

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 P

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 Plateau

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 WAVES

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 Pressure wave

Ppeak 20

21
0
cmH2O

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 Flow wave

60
L/Min

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 Volume wave

Vt

451
mL

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 Modes of ventilation

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 CPAP

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 PS

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 CMV

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 CMV

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 SIMV

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 SIMV + PS

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 Thank You

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