A 34 y/o male patient in the ICU is receiving NIPPV (BiPAP) by full face mask. The following BiPAP settings and ABG results are below. FiO2 50% IPAP 14 cmH2O EPAP 5 cmH2O Spontaneous Respiratory Rate 12 ABG: PH 7.29 PaCO2 51 PaO2 83 HCO3 23 BE -1 Which of the following changes would you recommend to the physician?
Which of the following methods for weaning COPD patients (CO…
Which of the following methods for weaning COPD patients (CO2 retainers) is the best choice for this patient population given the following ABG?ABG: PH 7.50 PaCO2 43 PaO2 75 HCO3 33.
When the ventilator only allows a breath every 5 seconds, it…
When the ventilator only allows a breath every 5 seconds, it is operating under the ___________ mode and the breaths are considered ________________.
A patient on a volume ventilator is on the following setting…
A patient on a volume ventilator is on the following settings: The patient’s ideal body weight is 100 kg. The patient’s vitals are stable, patient is alert and responding to commands, and the initial acute problem has improved. His current ventilator settings and ABG are listed below. Based on the data provided what is the most appropriate recommendation?SIMV (Volume)ABG Vt = 700 mlPH 7.47Rate = 10PaCO2 35 mmHgTotal Rate = 14PaO2 85 mmHgPS = 5HCO3 23 meq/LBE + 2
SBT (Spontaneous breathing trial) is a strong predictor of e…
SBT (Spontaneous breathing trial) is a strong predictor of extubation success once criteria for weaning has been established. Which of the following are assessments that indicate the potential to extubate?I. Normal Respiratory PatternII. Adequate Gas ExchangeIII. Unstable Blood PressureIV. Patient mildly uncomfortable
Normal static lung compliance (Cstat) is ____________.
Normal static lung compliance (Cstat) is ____________.
Interpret the following ABG:PH 7.22PaCO2 50PaO2 81HCO3 17
Interpret the following ABG:PH 7.22PaCO2 50PaO2 81HCO3 17
When called to the bedside by the unit physician requesting…
When called to the bedside by the unit physician requesting an update on your patient’s pulmonary status you notice the following data on the ventilator flow sheet.0700 Vt = 600ml PIP 25 Plateau 200900 Vt = 600ml PIP 28 Plateau 231100 Vt = 600ml PIP 32 Plateau 271300 Vt = 600ml PIP 35 Plateau 30
Which of the following are true regarding spontaneous modes?…
Which of the following are true regarding spontaneous modes?1. The patient determines the rate2. Apnea alarms and ventilation back-up mode should be set3. The ventilator determines and controls the rate4. The patient determines the tidal volume
A patient on a mechanical ventilator with the FiO2 set at .3…
A patient on a mechanical ventilator with the FiO2 set at .35 has a PaO2 of 50 mmHg. How would you change the FiO2 to achieve a PaO2 of 70 mmHg?