A 34 y/o male patient in the ICU is receiving NIPPV (BiPAP)…

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?

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 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 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