A 32-year-old patient with acute respiratory distress syndro…

A 32-year-old patient with acute respiratory distress syndrome (ARDS) is mechanically ventilated with the following settings: Mode: Assist-Control (AC) Tidal Volume (VT): 450 mL Respiratory Rate (RR): 18 breaths per minute FiO2: 0.80 (80%) PEEP: 12 cm H2O Peak inspiratory pressure: 40 cm H2O The patient’s most recent arterial blood gases (ABGs) show the following: pH: 7.28 PaCO2: 56 mm Hg PaO2: 65 mm Hg HCO3: 28 mEq/L SaO2: 90% Which of the following interventions would the nurse anticipate to improve this patient’s oxygenation and ventilation?

A 68-year-old patient with acute respiratory distress syndro…

A 68-year-old patient with acute respiratory distress syndrome (ARDS) is on mechanical ventilation with the following settings: Mode: Assist-Control (AC) Tidal Volume (VT): 400 mL Respiratory Rate (RR): 14 breaths per minute FiO2: 1.0 (100%) PEEP: 10 cm H2O Peak Inspiratory Pressure: 45 cm H2O The most recent arterial blood gases (ABG) show: pH: 7.30 PaCO2: 62 mm Hg PaO2: 72 mm Hg HCO3: 30 mEq/L SaO2: 92% Given these results, which of the following is the priority nursing action?

Your patient with ARDS converts into atrial fibrillation wit…

Your patient with ARDS converts into atrial fibrillation with RVR in rates of 140s. An infusion of lidocaine (Xylocaine) is prescribed at 1.3mg/min. The concentration of the medication is 1 g in 500 mL of IV fluid. Determine the flow rate in mL/hr. (Round to the nearest whole number when calculations are complete)

A patient on mechanical ventilation is being assessed by the…

A patient on mechanical ventilation is being assessed by the nurse. Review the following settings on the ventilator screen. The nurse observes that the patient is triggering the ventilator more frequently than the set respiratory rate. What is the most appropriate nursing intervention at this time?