Test your PICU/ NICU/ CHSU Knowledge

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Asher Quinn
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1 Test your PICU/ NICU/ CHSU Knowledge 1. On the LTV 1150 you have a 12-year-old trach patient. You are adding in 2 liters of 100% Oxygen through the flow inlet. The patient s spontaneous respiratory rate goes from 12 to 36 with the same tidal volume per breath. What do you expect to happen to the delivered FIO2? a. Stays constant b. Decreases c. Increases 2. The internal battery life on an LTV 1150 is a. 60 minutes b. 30 minutes c. 45 minutes d. 15 minutes 3. The DISC/ SENSE alarm on the LTV 1150 is generated when: a. The sense line is pinched or blocked b. The sense line has become disconnected c. The sense line is occluded with condensation d. All of the above e. None of the above 4. The variable rise time is numbered 1 through 9 with 1 being the fastest flow and 9 being the slowest. Starting with a rise time of 1, each time is longer than the previous. a. 33% b. 25% c. 10%

2 5. When you are in a pressure control mode with the LTV 1150 and you have the Pressure Control Flow Termination enabled the Variable Flow Termination setting is used for flow termination of the Pressure Control breaths as well. 6. You notice that the Pressure Support display occasionally flashes on the LTV This means: a. There is a malfunction with the ventilator b. The pressure support breath is too large c. The breath was cycled based on the variable time setting. 7. On the LTV 1150, when the Pressure Control Flow Termination option is OFF, Pressure Control breaths are cycled when the set Inspiratory Time is reached. 8. What option helps to track baseline flow to improve triggering on the LTV 1150? a. Variable flow termination b. High pressure delay c. Leak Compensation

If the patient does not breath for 10 seconds, the ventilator will switch to PRVC d.

3 9. On the Servo I, you have a patient in PRVC/ Automode the Trigger Timeout is set at 10 seconds this means: a. The patient will automatically get a pressure supported breath every 10 seconds. b. The ventilator will alarm if the patient does not take a breath every 10 seconds. c. If the patient does not breath for 10 seconds, the ventilator will switch to PRVC d. The patient will always get the mandatory breaths no matter if the patient is spontaneously breathing or not 10.The biggest side effect of giving Isoflourane with the Flow i is: a. Hypotension b. Hypertension c. Anxiety d. Depression 11.What type of breath is shown above? a. Pressure Control b. Pressure Support c. PRVC d. Volume Control

4 12.In the tracing for question 11 what is the advantage of changing the flow termination from 40% to 10% a. Increases Peak Inspiratory Flow b. Increases Tidal Volume c. Increases Resistance d. Decreases Inspiratory Time 13.Which of the statement(s) about PRVC (Pressure Regulated Volume Control) is false a. PRVC controls the volume on all breaths b. PRVC works best with patients in a Metabolic Acidosis. c. PRVC is a good mode to use when you have a big leak around the patients endotracheal tube. d. All of the above are false statements e. None of the Above 14.You can use Volume Guarantee on the AVEA ventilator in the Pediatric category. 15.Nitric Oxide a. Is given to you at the dentist office b. Is also known as laughing gas c. Is used to boost cars performance d. Is both a systemic and pulmonary vaso dilator e. Is primarily a pulmonary vaso dilator

5 16.What is the minimum flow necessary on Vapotherm high flow cartridge? a. 1 liter b. 4 liters c. 5 liters d. 10 liters 17.How would you lower CO2 on a patient on an HFOV 3100A? a. Increase Amplitude b. Lower Hertz c. Increase Bias Flow d. Deflate the cuff on the Endotracheal tube e. All of the Above 18.In PRVC you notice that the ventilator continues to alarm Regulation Pressure Limited. This means: a. You need to change patient categories b. You need to change the Rise Time to give you faster flow c. You need to Increase the Pressure Support as the patient needs more support d. The patient is reaching the upper pressure limit e. The patient is reaching 5 below the upper pressure limit 19.You are coming on shift. Your patient recently was placed on high flow Fisher and Paykel cannula from Nasal CPAP. You notice that the patient still has the adapter on top of the heater that is white in color instead of the blue one that you normally have. The down side to leaving the white adapter is: a. It Pops Off at a lower pressure b. It Pops Off at a higher pressure c. There is no down side In fact we can save money by using the same setup d. There is no difference between the adapters

6 20.You can refill the Isoflourane while it is on the patient.

Using Common Ventilator Graphics to Provide Optimal Ventilation

Using Common Ventilator Graphics to Provide Optimal Ventilation David Vines, MHS, RRT, FAARC Associate Professor Chair / Program Director Department of Respiratory Care RUSH UNIVERSITY MEDICAL CENTER Disclosure