VENTILATION FACTORY ESCAPE GAME

Ventilation FACTORY ESCAPE GAME

start

Welcome to the Ventilation Factory. There is a lot of pressure and you need to save yourself from the barotrauma!

THE MISSION

Escape the Ventilation Factory by correctly answering the questions regarding airway management and ventilation of a critically ill patient.

THE base

Find the clue you need to keep moving forward

QUESTION 1/3

Capnography

What is the gold standard for confirming advanced airway placement?

Bilateral Breath Sounds

QUESTION 2/3

Hypotension

You increase the patient's PEEP from 5 mmHg to 10 mmHg. What hemodynamic change might you see?

Hypertension

QUESTION 3/3

Pressure Support

What parameter indicates the maximum amount of pressure applied during the inspiration phase on the ventilator?

Peak Inspiratory Pressure

THE base

Find the clue you need to keep moving forward

QUESTION 1/3

Negative

During spontaneous ventilations, the patient takes a breath that creates _____ intrathoracic pressure and causes air to rush into the cavity.

Positive

Diffuse

QUESTION 2/3

20 PSI

Transport ventilators are usually attached to an oxygen source:

50 PSI

100 PSI

QUESTION 3/3

22-28

Normal bicarbonate levels (HCO3) on an ABG:

35-45

30-35

the base

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QUESTION 1/3

Pancuronium

Which of the following medications have the shortest onset of action?

Succinylcholine

Vecuronium

QUESTION 2/3

Partially Compensated Metabolic Acidosis

How do you interpret the following ABG? pH 7.34, PaCO2 52, HCO3 24

Partially Compensated Respiratory Acidosis

Uncompensated Respiratory Acidosis

QUESTION 3/3

Respiratory Rate

Select the best answer. If my patient's EtCO2 is too high, I can consider manipulating:

Minute Ventilation

PEEP

the base

Find the clue you need to keep moving forward

QUESTION 1/3

Increase Vt to 450 mL

While transporting a 57 kg mechancially ventilated patient, you notice he begins to become hypoxic (SpO2 86%). Current settings are A/C Mode, Vt 400 mL, RR 14, FiO2 1, PEEP 5 cmH2O, and I:E 1:2. What is the most beneficial change you could make to improve his hypoxia?

Increase RR to 16

Increase FiO2 to 1.2

Increase PEEP to 7-7.5 cmH2O

QUESTION 2/3

Ventilation - Perfusion Mismatch

Compensated Respiratory Acidosis

You are transporting a 64 YOF on a ventilator for heart failure exacerbation. She has an EtCO2 of 80 mmHg. How would you classify the inadequate gas exchange?

Alveolar Distribution Failure

Residual Deadspace Impedance

QUESTION 3/3

8.1 L

7.8 L

What is the ideal minute ventilation of a male patient who is 6 foot tall?

5 L

7.3 L

the base

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QUESTION 1/3

I:E 1:3

RR 16

You are transporting a 70 kg ventilated COPD patient. The ventilator settings are A/C mode, Vt 420 mL, RR 14, I:E 1:2, and FiO2 0.6. What change would you consider due to the pathology of the underlying disorder?

FiO2 1.0

Vt 350 mL

QUESTION 2/3

300-350 mL

450-510 mL

What is an appropriate tidal volume for a 5'9" female patient?

320-475 mL

450-590 mL

QUESTION 3/3

immediate respiratory failure

stalled respiration

Auto-PEEP results in:

the start of inhalation before exhalation is done

elevated blood pressure

Mission Complete

You've saved the base

START OVER?

Are you sure you want to go out?

You will lose progress

exit

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MISSION FAILED

You've destroyed the base......

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