A patient is assessed with SOB is currently on CPAP 7 cm H2O…

A patient is assessed with SOB is currently on CPAP 7 cm H2O and 60% FIO2. The following information is available.   HR – 130 bpm pH – 7.16 Urine output – 20 ml/hr RR – 37 breaths/min PaCO2 – 25 torr BUN 40 BP – 145/90 mmHg PaO2 – 200 torr Creatinine 4.5 SpO2 – 92% HCO3 13 mEq/L Blood glucose of 105 g/dl Temp – 37c BD – (-5) Hb 14 g/dl   What is causing this patient’s respiratory distress?

A patient with history of ALI due to smoke inhalation has co…

A patient with history of ALI due to smoke inhalation has continued worsening of lung compliance. The patient is currently on ventilatory support on the current settings: Mode – AC/PC Total Rate – 20 breaths/min Rate – 14 breaths/min Exhaled VT – 400 ml Pressure – 35 cm VE – 8.0 L/min PEEP – 15 cm H2O PIP – 50 cm H2O FIO2 – 0.80 Her physician wants to place the patient on APRV. What ventilator settings should be recommended?