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Which of the following is not a sign of inadequate ventilation through the BMV?

1) No chest movement
2) High CO₂reading
3) Decreased O₂ saturation
4) Absent breath sounds

1 Answer

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Final answer:

Signs of inadequate ventilation through BMV include no chest movement, high CO₂ reading, decreased O₂ saturation, and absent breath sounds. Increased exercise is not a sign of inadequate BMV as it causes hyperpnea, a normal increase in breathing rate and depth in response to oxygen demand. Respiratory rate and volume should balance to ensure proper gas exchange.

Step-by-step explanation:

Identifying Inadequate Ventilation through BMV

To assess inadequate ventilation through Bag-Mask Ventilation (BMV), one must observe various indicators. When a patient is not ventilating adequately, there may be no chest movement indicating that air is not entering the lungs. A high CO₂ reading and decreased O₂ saturation are clear signs of inadequate ventilation, as they suggest that carbon dioxide is not being expelled effectively, and oxygen is not being taken up efficiently. Additionally, absent breath sounds are a critical sign that air is not reaching the lungs. In contrast, increased exercise typically leads to an increase in both the rate and depth of breathing, known as hyperpnea, to meet the body's higher oxygen demand. Hyperpnea does not necessarily indicate inadequate ventilation but rather a physiological response to increased oxygen needs.

Respiratory Rate and Volume Adjustments

For ideal alveolar ventilation, the respiratory rate and volume of air per breath should balance to ensure proper gas exchange. If alveolar ventilation is too low, the respiratory rate may decrease, and the patient may breathe with a lower volume of air. Conversely, if ventilation is too high, the respiratory rate will increase, and the patient may take quicker, less deep breaths. Both scenarios can lead to either excessive carbon dioxide or insufficient oxygen in the bloodstream.

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