Advanced Mechanical Ventilation List indications, contraindications, and advanta

Advanced Mechanical Ventilation

1. List indications, contraindications, and advantages of HFNC and PRVC.
2. List the variable that may be controlled on a HFNC system.
3. List the components of a HFNC.
4. Given patient data, recommend interventions with HFNC, APRV, VS, and APRV.
5. Identify the approximate amount of CPAP generated by a HFNC system.
6. List settings differences between PRVC and PC-CMV.
7. Identify maximum PIP based on pressure setting in PRVC.
8. List the increment range for PIP changes in PRVC.
9. Identify the primary difference between PRVC and VS.
10. Identify settings that may be changed in APRV to adjust oxygenation and ventilation.
11. Describe the possible method(s) for determining the initial setting of P_high in APRV.
12. Describe the basic function of NAVA.
13. Interpret the acid-base balance of ABG values.
14. Identify the method by which intrapleural pressure is estimated in NAVA.

Clinical Lab Studies

Define:

• Hematocrit
• Cytology
• Histology
• Culture and sensitivity
• Unifocal PVC
• Multifocal PVC

List normal values and ranges of:

• RBCs (erythrocytes)
• WBCs (leukocytes)
• Thrombocytes
• Reticulocytes
• Glucose

1. Identify the lab test(s) that are used to measure liver function.
2. Identify the lab test(s) that are used to measure kidney function.
3. Identify the lab test(s) that are used to measure pancreatic function.
4. Identify the electrolyte that results in diaphragmatic weakness if that electrolyte’s value is too low.

ECG Interpretation

• Identify the normal pacemaker of the heart.

Identify the electrical event that follows the following ECG waves:

• P wave
• QRS complex
• T wave

1. Identify the variables measures by the vertical and horizontal axes of an ECG tracing.
2. Identify the feature that all sinus rhythms share.

Identify the following ECG rhythms when seen on an ECG tracing

• Normal sinus rhythm
• Sinus tachycardia
• Sinus bradycardia
• 1^st degree heart block
• 2^nd degree heart block, Types I & II
• 3^rd degree heart block
• Atrial fibrillation
• Atrial flutter
• Ventricular tachycardia
• Ventricular fibrillation (coarse and fine)
• Asystole

Scores & Indices

Identify the use of and normal range for the following clinical scores.

a. HACOR
b. APGAR
c. ROX
d. Mallampati
e. Ballard
f. SOFA
g. APACHE
h. Apnea Test
i. RSBI
j. GCS
k. AHI
l. P/F ratio

Noninvasive Monitoring

1. Identify the place on an ETCO₂ graph where the highest P_ETCO₂ exists.
2. Describe the feature that make a monitoring route noninvasive.
3. Describe the effect of an increased COHb would have on SpO₂.
4. Identify the process for minimizing the risk of skin burns when using transcutaneous gas monitoring.
5. Identify acceptable anatomic locations for SpO₂ monitoring sensors.
6. Identify the patient population on whom the heel is an acceptable location for SpO₂ monitoring.

Ventilator Graphics

1. Using ventilators graphics (scalars and loops), identify the following abnormalities.
   • Overdistension
   • Air trapping
   • Circuit leak
   • The presence of airway secretions