A 48-year-old patient is receiving mechanical ventilation fo…

A 48-year-old patient is receiving mechanical ventilation following a hernia repair. He is 6′ tall and weighs 75 kg (165 lb). Prior to initiating a spontaneous breathing trial, the therapist notes the following informationFIO2: 0.35SIMV mandatory rate: 6/minTotal rate: 14/minVt: 600 mLMIP: -26 cm H2OSpont Vt: 400 mLArterial blood gas results show:PH: 7.39PaCO2: 42 torrPaO2: 88 torrHCO3-: 23 mEq/LThe patient is to be placed on CPAP with an FIO2 of 0.40. Five minutes into the SBT, his respiratory rate increases to 28/min., heart rate from 110/min. to 135/min. and blood pressure changes from 112/70 mm Hg to 140/88 mm Hg. At this time, the therapist should

A 80 kg (176 lbs) patient with pulmonary fibrosis is being m…

A 80 kg (176 lbs) patient with pulmonary fibrosis is being mechanically ventilated with a volume-controlled ventilator at the following settings:Mode: SIMVVt: 700 mLMandatory Rate: 15Total Rate: 15FIO2: 0.45PEEP: 10 cm H2OI:E Ratio: 1:2PIP: 50 cm H2OArterial Blood Gas analysis reveals the following:PH: 7.34PaCO2: 42 torrPaO2: 55 torrHCO3-: 22 mEq/LSaO2: 88%The respiratory therapist should recommend:

What is the role of postextubation NPPV for patients with CO…

What is the role of postextubation NPPV for patients with COPD exacerbations who are intubated because they were not initially candidates for NPPV? I. earlier extubation to NPPV II. reduced incidence of nosocomial infection III. decreased length of stay in hospital IV. shortened duration of positive-pressure mechanical ventilation