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VENTILATION FACTORY ESCAPE GAME
The Staff Medical Training Solutions
Created on October 20, 2024
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Ventilation FACTORY ESCAPE GAME
Welcome to the Ventilation Factory. There is a lot of pressure and you need to save yourself from the barotrauma!
Escape the Ventilation Factory by correctly answering the questions regarding airway management and ventilation of a critically ill patient.
THE MISSION
THE base
Find the clue you need to keep moving forward
QUESTION 1/3
Bilateral Breath Sounds
Capnography
What is the gold standard for confirming advanced airway placement?
QUESTION 2/3
Hypertension
Hypotension
You increase the patient's PEEP from 5 mmHg to 10 mmHg. What hemodynamic change might you see?
QUESTION 3/3
Peak Inspiratory Pressure
Pressure Support
What parameter indicates the maximum amount of pressure applied during the inspiration phase on the ventilator?
THE base
Find the clue you need to keep moving forward
QUESTION 1/3
During spontaneous ventilations, the patient takes a breath that creates _____ intrathoracic pressure and causes air to rush into the cavity.
Diffuse
Positive
Negative
QUESTION 2/3
Transport ventilators are usually attached to an oxygen source:
100 PSI
50 PSI
20 PSI
QUESTION 3/3
Normal bicarbonate levels (HCO3) on an ABG:
30-35
35-45
22-28
the base
Find the clue you need to keep moving forward
QUESTION 1/3
Which of the following medications have the shortest onset of action?
Vecuronium
Succinylcholine
Pancuronium
QUESTION 2/3
How do you interpret the following ABG? pH 7.34, PaCO2 52, HCO3 24
Uncompensated Respiratory Acidosis
Partially Compensated Respiratory Acidosis
Partially Compensated Metabolic Acidosis
QUESTION 3/3
Select the best answer. If my patient's EtCO2 is too high, I can consider manipulating:
PEEP
Minute Ventilation
Respiratory Rate
the base
Find the clue you need to keep moving forward
QUESTION 1/3
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 PEEP to 7-7.5 cmH2O
Increase FiO2 to 1.2
Increase RR to 16
Increase Vt to 450 mL
QUESTION 2/3
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?
Residual Deadspace Impedance
Alveolar Distribution Failure
Compensated Respiratory Acidosis
Ventilation - Perfusion Mismatch
QUESTION 3/3
What is the ideal minute ventilation of a male patient who is 6 foot tall?
7.3 L
5 L
7.8 L
8.1 L
the base
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QUESTION 1/3
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?
Vt 350 mL
FiO2 1.0
RR 16
I:E 1:3
QUESTION 2/3
What is an appropriate tidal volume for a 5'9" female patient?
450-590 mL
320-475 mL
450-510 mL
300-350 mL
QUESTION 3/3
Auto-PEEP results in:
elevated blood pressure
the start of inhalation before exhalation is done
stalled respiration
immediate respiratory failure
START OVER?
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Mission Complete
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