PFT MIP AND MEP 2023/2024 already passed

PFT MIP AND MEPin a neuromuscular disease how would you monitor the patient's muscle strength - correct answer measure the MIP which is the same as NIF the MEP and the vital capacity every hour what would a spinal tap reveal in gion beret - correct answer increased spinal pressure what is normal vital capacity - correct answer women 3 to 4 and Men 4 to 6 what are weaning parameters for MIP - correct answer negative 82 - 100 what are weaning parameters for MEP - correct answer 80 - 100 what are weaning parameters for nif - correct answer 80 - 100 if nif is 75 what is MIP - correct answer negative 75 what does a decreased MEP mean - correct answer hyper-inflated lungs like emphysema and a decreased expiratory flow if a patient's actual vital capacity is close to the predicted vital capacity say 98% myth is -25 meth is 103 what is your diagnosis - correct answer it's poor effort on the patient's part because the vital capacity does not match MIp and mep, you need to redo the test in myasthenia gravis what do the eyelids do and what would the PFT results be - correct answer the eyelids become droopy MIP and MEP and vital capacity would decrease below normal if a patient has had a drug overdose how do you know when she's starting to wake up - correct answer her lungs are improving but her body is not responding which you found out by measuring mipp nif and mep if you have measured NIF on a patient for 3 days and her measurements are getting better what do you think the problem is - correct answer not a neuro muscular disease cause the muscles are too strong and it would take longer than 3 Days To recover you need to look for other reasons you need more info asked to do a weaning trial what does Narcan reverse - correct answer opioids what reverses anti-anxiety meds - correct answer romazicon or flumazenil how do you perform MIP - correct answer exhale to RV and inhale as forcefully as possible how do you perform MEP - correct answer inhale to TLC and exhale as forcefully as possible how many Maneuvers do you do and how closely should they match - correct answer do three Maneuvers they should match within 10% choose the greatest negative or positive number to the nearest one or five cwp if the patient has ards and they can generate 100 cwp, can you take them off the ventilator - correct answer no because their volume is not big enough and due to the alveoli collapsing how do you measure fef 25/75 - correct answer when you have forced vital capacity multiply that amount buy 25% or 75%