A micro-premie neonate was placed on high frequency oscillat…

A micro-premie neonate was placed on high frequency oscillatory ventilation for severe non-compliant lungs and hemodynamic instability. Ventilator settings and ABG are as follows:AMP = 20                     pH = 7.33Hz = 15                          PaCO2 = 52 mmHgFIO2 – 0.60                    PaO2 = 42 mmHgMAP = 10                       HCO3 = 25 mEq/L                                      BE = 3 mEq/LDiaphragm on a CXR is at 7th rib. What should be done at this time?

A term neonate is currently on bipap with an IPAP 12 cm H2O,…

A term neonate is currently on bipap with an IPAP 12 cm H2O, EPAP 6 cm H2O and FiO2 of 35%. The patient is breathing at 65 breaths/min. CBG results are as noted:pH          7.26PaCO2    66 torrPaO2      32 torrHCO3     26 mEq/LWhat is an appropriate action?

Baby boy Smith is on CMV. Breathsounds on the left side is a…

Baby boy Smith is on CMV. Breathsounds on the left side is absent and hyperresonant when percussed, CXR shows absent lung markings on the left side and a mediastinal shift to the right side. SpO2 84% and a pulse of 105 bpm. what should the therapist recommend at this time.

A 2.2 Kg newborn was  placed on Nasal CPAP. The patient is r…

A 2.2 Kg newborn was  placed on Nasal CPAP. The patient is receiving 0.30 FIO2 at a pressure of 5 cm H2O. An CBG was obtained via heel stick with the following results:pH          7.27PaCO2     65 mmHgPaO2      35 mmHgHCO3     25 mEq/LBE          0.5 mEq/LThe patient’s SpO2 is reading at 92%. What can be suggested at this time?

A neonate that weighs 1800 grams is currently on mechanical…

A neonate that weighs 1800 grams is currently on mechanical ventilation via PCV. The patient just received Beractant (survanta). One minute later you notice the following parameters on the ventilator. What should the respiratory practitioner do?AC/PCVf = 60PIP = 28 cm H2OFIO2 = 40%PEEP = 0SpO2 = 91%Exhaled  VT = 15 ml

A neonate that weighs 1800 grams is currently on mechanical…

A neonate that weighs 1800 grams is currently on mechanical ventilation via PCV. The patient just received Beractant (survanta). One minute later you notice the following parameters on the ventilator. What should the respiratory practitioner do?AC/PCVf = 60PIP = 28 cm H2OFIO2 = 40%PEEP = 0SpO2 = 91%Exhaled  VT = 15 ml