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 ml​PH 7.47​Rate = 10​PaCO2 35 mmHg​Total Rate = 14​PaO2 85 mmHg​PS = 5​HCO3 23 meq/L​​BE + 2

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 ____________. 

Interpret the following ABG:PH 7.22PaCO2 50PaO2 81HCO3 17

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?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 .35 has a PaO2 of 50 mmHg. How  would you change the FiO2 to achieve a PaO2 of 70 mmHg?

What does the following pressure volume loop represent? PV Loop Leak.png 

Routine monitoring of the mechanically ventilated patient includes the artificial airways.  About once every 8 to 12 hours, the endotracheal or tracheostomy cuff pressure should be checked to guarantee that cuff pressures do not exceed ____.

The high pressure alarm is set ___________ above the patient’s PIP level.