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Setting PEEP and Bedside Assessment of Lung Recruitability

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1.  Ashbaugh's study (1967) introduced PEEP and the concept of ARDS, along with which MINOR finding?
  1. Atelectasis
  2. Alveolar obstruction
  3. Viscus fluid filling
  4. Fluid overload
2.  When is high PEEP most often needed?
  1. As a counterforce to increased intra-abdominal pressure (IAP)
  2. To help adapt surface tension forces into the lungs
  3. When eliminating viscoelastic properties of the chest wall tissue
  4. As a response to tissue deformation in the upper airways
3.  Research demonstrates that this range of PEEP is sufficient in managing ARDS:
  1. PEEP of 10-15
  2. PEEP of 0
  3. PEEP of -3
  4. PEEP of -12
4.  Which of the following is an example of a tool to assess lung recruitment and improve aeration?
  1. SpO2
  2. Vd/Vt
  3. PaCO2-PETCO2
  4. All of the following
5.  Approximately 90% of ARDS mortality is related to which of the following conditions?
  1. Deep vein thrombosis
  2. Multiorgan dysfunction syndrome (MODS)
  3. Lung fibrosis
  4. Shortness of breath