Use the following information to answer questions 10-16. A p…

Use the following information to answer questions 10-16. A patient has been intubated due to an asthma exacerbation and is on VC-CMV with the following settings: VT 575 mL   f 12 BPM   Ti 0.8 sec   PEEP 5 cmH2O   FiO2 0.4   Trigger -1 cmH2O    Measured parameters are as follows: PIP 38 cmH2O   Pplat 16 cmH2O   PEEPi 9 cmH2O   VTe 590 mL   Total f 12 BPM ABG results are as follows: pH 7.25   PaCO2 62 mmHg   PaO2 100 mmHg   HCO3- 27 mEq/L The appropriate setting for the patient’s low VT alarm is between:

A COPD patient with an IBW of 65 kg is in the ER with dyspne…

A COPD patient with an IBW of 65 kg is in the ER with dyspnea. The patient is using his accessory muscles, is on 2 L/min NC and receiving aerosolized bronchodilators. ABG reveals: pH 7.31   PaCO2 72 mmHg   PaO2 88 mmHg   SaO2 90%   HCO3-  32 mEq/L At this time, the most appropriate recommendation is:

A patient is on the ventilator due to pneumonia. The nightsh…

A patient is on the ventilator due to pneumonia. The nightshift therapist informs you they changed the HME around 0500. It is now 1700 (5pm) and you’ve had to change the patient’s HME 5 times due to thick, copious secretions. What is the most appropriate action?