A 64 year old 60 kg (132 lb) patient with COPD is receiving…

A 64 year old 60 kg (132 lb) patient with COPD is receiving mechanical ventilation. Current ventilatory settings, waveform and arterial blood gas results are as follows: Settings Parameters ABG Mode – AC Total rate – 15 pH – 7.29 Rate – 10 Ex.VT – 550 ml PaCO2 – 63 torr Set VT – 600 ml VE – 8.25 L/min PaO2 – 58 torr PEEP – 0 cm H2O PIP – 25 cm H2O HCO3 – 29 mEq/L FIO2 – 0.35 I:E – 1:6.2 BE – +5 mEq/L PIF – 60 lpm     On auscultation the patient is wheezing bilaterally and SpO2 at 90 %. Which of the following should the respiratory therapist do?

A 2 y/o boy was brought in by his mom that her son is exhibi…

A 2 y/o boy was brought in by his mom that her son is exhibiting SOB with coughing. She stated that he was just playing in his room when he started to exhibit symptoms. Current vitals are as follows: Pulse rate – 110 bpm RR – 35 breaths/min SpO2 – 91% Temp. – 37 degrees celsius Breathsounds – Stridor What should the respiratory therapist suspect?

14 year old girl is on CPAP of 10 cm H2O at an FIO2 of 80% ….

14 year old girl is on CPAP of 10 cm H2O at an FIO2 of 80% . She looks lethargic and breathing at a rate of 12 breaths/min. The following is an ABG analysis on the current therapy:   pH – 7.23 PaCO2 – 65 mmHg PaO2 – 45 mmHg HCO3 – 25 mEq/L   What is recommended at this time?

A patient is currently on mechanical ventilation with the fo…

A patient is currently on mechanical ventilation with the following information: Settings Hemodynamics Mode – A/C   CVP – 5 mmHg Rate – 10    PAP – 28 mmHg Pressure – 25 cm H2O  PCWP – 10 mmHg FIO2 – 0.80    QT – 7 L/min PEEP – 5 cm H2O   Tot Rate – 10   Ex. VT – 400 ml   Find the V/Q ratio and R/O the possibility: