Deck 10: Non-Invasive, Homecare, and Transport Ventilators

Question 1

Which of the following are indications for non-invasive positive pressure ventilation?
I. exacerbation of chronic obstructive pulmonary disease (COPD)
II. hypoxic respiratory failure
III. cardiogenic pulmonary edema
IV. patients who have failed weaning from conventional ventilation

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Answer 1

I, II, III, and IV

Question 2

What is the most important step to ensure patient comfort during non-invasive positive pressure ventilation?

A) Always use humidification.
B) Always use low tidal volumes.
C) Always use the lowest pressure possible.
D) Correctly fit the mask and headgear.

Answer 2

D

Question 3

What is the limit variable during Bi-Level ventilation?

A) flow
B) pressure
C) volume
D) time

Answer 3

B

Question 4

Which of the following are hazards of non-invasive positive pressure ventilation?
I. eye irritation
II. barotrauma
III. aspiration pneumonia
IV. hypoxemia

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 5

Which of the following are indications for non-invasive positive pressure ventilation?
I. community-acquired pneumonia
II. acute asthma
III. patients with terminal conditions that wish not to be intubated
IV. cardiogenic pulmonary edema

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 6

If a leak is significant during non-invasive positive pressure ventilation, which of the following may occur?
I. low tidal volume delivery
II. hypoxemia
III. hypercarbia
IV. patient discomfort

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 7

Which of the following non-invasive positive pressure ventilators incorporate the ability to monitor tidal volumes and inspiratory pressure and flow patterns?

A) Respironics BiPAP Vision
B) ResMed S9 Elite
C) Respironics REMstar Plus
D) Respironics System One ^BiPAP Auto SV

Question 8

Which of the following non-invasive positive pressure ventilators incorporate a blender and can adjust the F_IO₂?
I. Respironics BiPAP Vision
II. Respironics V60
III. Respironics REMstar Plus
IV. ResMed S9 Elite

A) I and II
B) I and III
C) II and III
D) II and IV

Question 9

What is the control variable for the Respironics V60 ventilator ?

A) flow
B) pressure
C) volume
D) time

Question 10

A patient coughs while on a home care ventilator, triggering the pressure alarm. What is the cycle variable under this circumstance?

A) flow
B) pressure
C) volume
D) time

Question 11

Which of the following home care ventilators can provide either PC-SIMV or VC-SIMV?
I. CareFusion LTV 1200
II. Puritan Bennett 540
III. Newport HT70

A) I
B) I and II
C) II and III
D) I, II, and III

Question 12

What is the control variable for the CareFusion LTV 1200 ?

A) flow
B) pressure
C) volume
D) time

Question 13

What can be done to prevent mucous plugging during non-invasive positive pressure ventilation?

A) Always use humidification.
B) Always use low tidal volumes.
C) Always use the lowest pressure possible.
D) Correctly fit the mask and headgear.

Question 14

How can gastric insufflation be minimized during non-invasive positive pressure ventilation?

A) Use low tidal volumes.
B) Use low pressures.
C) Use only spontaneous mode.
D) Insert a nasal gastric tube.

Question 15

If you are using a Respironics Vision ventilator for continuous non-invasive ventilation, you should:

A) set the alarm limits at 15 cmH₂O above the IPAP pressure
B) set the rate alarm to 10 breaths above and below the set rate
C) set the disconnect alarm delay to no more than 20 seconds
D) all of the above

Question 16

Which of the following home care ventilators may be flow limited?

A) CareFusion LTV 1200
B) Puritan Bennett 540
C) Newport HT70
D) none of the above

Question 17

Which of the following are common patient interfaces for non-continuous ventilatory augmentation?
I. nasal mask
II. full face mask
III. endotracheal tube
IV. tracheostomy tube

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 18

Which of the following are hazards of non-invasive positive pressure ventilation?
I. leaks
II. patient discomfort
III. gastric insufflation
IV. mucous plugging

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 19

A Respironics BiPAP Vision is operating in the spontaneous timed mode. What is (are) the trigger variable(s) for this mode?
I. flow
II. pressure
III. volume
IV. time

A) I and II
B) I and IV
C) II and III
D) II and IV

Question 20

Which of the following are patient interfaces used with non-invasive positive pressure ventilation?
I. nasal mask
II. full face mask
III. Totalface mask
IV. endotracheal tube

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 21

Which of the following transport ventilators use a pneumatic-control circuit?

A) BioMed Devices Cross Vent 4
B) CareFusion EnVe^TM
C) Impact Medical 731 Eagle II
D) Life Support Products Autovent 2000/3000

Question 22

What is the control variable for the Respironics, Inc., REMstar Plus ventilator

A) flow
B) pressure
C) volume
D) time

Question 23

Which of the following transport ventilators allow manual triggering?
I. BioMed Devices Cross Vent 4
II. CareFusion EnVe^TM
III. Impact Medical 731 Eagle IIK
IV. Life Support Products Autovent 2000/3000

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 24

Which of the following home care ventilators has a dual piston drive mechanism?

A) CareFusion LTV 1200
B) Puritan Bennett 540
C) Newport HT70
D) none of the above

Question 25

Which of the following home care ventilators uses a rotary compressor in its drive mechanism?

A) CareFusion LTV 1200
B) Puritan Bennett 540
C) Newport HT70
D) none of the above

Question 26

Which of the following transport ventilators can provide IMV?
I. BioMed Devices Cross Vent 4
II. Hamilton Medical T1
III. Impact Medical 731 Eagle II
IV. Life Support Products Autovent 2000/3000

A) I
B) I and II
C) I, II and III
D) I, II, III, and IV

Question 27

What is the power source for the ResMed S9 Elite ventilator?

A) 50 psi air
B) 50 psi oxygen
C) AC electric power
D) 12-volt battery power

Question 28

What are the trigger variables for the Respironics V60 ventilator?
I. pressure
II. flow
III. time
IV. volume

A) I and III
B) II and III
C) II and IV
D) III and IV

Question 29

Which of the following transport ventilators have a battery incorporated into their control circuit?
I. BioMed Devices Cross Vent 4
II. CareFusion EnVe^TM
III. Hamilton Medical T1
IV. Impact Medical 731 Eagle II

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 30

What is the primary advantage to a Bi-Level non-continuous ventilator over a CPAP ventilator?

A) patient comfort
B) higher pressure ranges
C) higher flow ranges
D) cost

Question 31

Which of the following transport ventilators can provide pressure support?
I. BioMed Devices Cross Vent 4
II. CareFusion EnVe^TM
III. Impact Medical 731 Eagle II
IV. Life Support Products Autovent 2000/3000

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 32

When a CPAP ventilator is operating in the "ramp" mode:

A) volume gradually increases over time
B) flow gradually increases over time
C) pressure gradually increases over time
D) the ventilator rate gradually increases over time

Question 33

Which of the following home care ventilators use a centrifugal blower in its drive mechanism?

A) CareFusion LTV 1200
B) Puritan Bennett 540
C) Newport HT70
D) none of the above