RSPT 2414 Mechanical Ventilation: Unit 1 Objectives for Basic Concepts of Mechanical Ventilation

Reading assignment:

·  Chang, Ch. 1

·  Egan’s Fundamentals, Ch. 38

Respiratory Failure [Egan’s pp.914-921 & Chang pp. 1-23]

  1. Define respiratory failure [Egan’s pp. 914]
  2. List and differentiate the 3 different types of respiratory failure [Egan’s pp.914-921]
  3. Define and discuss V/Q mismatch. [Egan’s pp.915-917]
  4. Define and discuss shunts and shunt like effects. [Egan’s pp.915-917]
  5. Using 02 indices to identify V/Q mismatches and shunts. [Egan’s pp.915-917]
  6. Differentiate between alveolar hypoventilation and diffusion problems. [Egan’s pp.915-917]
  7. Discuss the effects of decreased ventilatory drive on respiratory failure. [Egan’s pp.918 & 922-923]
  8. Situations that contribute to respiratory failure. [Chang pp.1-23]
  9. Clinical signs and symptoms of respiratory failure in the adult patient. [Egan’s pp. 921-923]
  10. Parameters associated with a need for mechanical ventilation [Egan’s pp. 917-919, 922-923]
  11. Arterial blood gases associated with respiratory failure. Egan’s pp. 917-919, 922-923]
  12. The effects of decreased compliance or increased RAW on the driving pressure required to ventilate the patient. [Chang’s pp. 3-10]
  13. Arterial blood gases associated with respiratory failure. [Egan’s pp. 917-919, 922-923]
  14. The effects of decreased compliance or increased RAW on the driving pressure required to ventilate the patient. [Chang’s pp. 3-10]
  15. Bedside measurement of the lung compliance & bedside measurement of the RAW

Basic definitions for mechanical ventilation:

16. Define the following terms:

·  Mechanical ventilation

·  Inspiratory phase

·  Expiratory phase

·  Cycle time

·  Airway pressure

·  PIP

·  P plateau

·  PAW

·  Baseline pressure

·  Positive pressure mechanical ventilation

·  Negative pressure mechanical ventilation

·  Invasive mechanical ventilation

·  Non-invasive mechanical ventilation

·  Ventilator modes

·  Full-support mechanical ventilation:

·  Partial-support mechanical ventilation.

·  Spontaneous modes

·  Wave forms/graphics

·  Peak flows /flow rates

·  Constant flow

·  Descending ramp:

·  Sine wave

·  VT

·  Set VT

·  Corrected VT