Blog

The ventilator graphic below, what is can be identify from the arrow.     

A 59-year-old man who is 170 cm (5 ft 7 in) tall and weighs 65 kg (143 lb) is receiving VC ventilation after abdominal surgery. Ventilator settings and blood gas analysis results are: FIO2 0.40   pH 7.47 Mandatory rate 14   PaCO2 31 mm Hg Total rate 14   PaO2 117 mm Hg VT 500 mL   HCO3- 23 mEq/L       BE 0 mEq/L       SaO2 (calc) 98% A respiratory therapist should

A 41-year-old woman who is 160 cm (5 ft 3 in) tall and weighs 60 kg (133 lb) is brought to the ED following an auto vs pedestrian accident,  PC, SIMV ventilation is initiated.  Six days later, ventilator settings are: FIO2 0.40   pH 7.39 Mandatory rate 8   PCO2 41 mm Hg Insp Press 18 cmH2O   PO2 86 mm Hg VT 360 mL   HCO3- 23 mEq/L PEEP 5 cm H2O   BE -2 mEq/L       SaO2 (calc) 96% The patient is alert and oriented. She is hemodynamically stable and initiating inspiratory efforts. Which of the following should a respiratory therapist recommend FIRST?

A 171-cm (5-ft 7-in), 65-kg (142-lb) 43-year-old female is receiving PC, SIMVventilation. The following data are available: FIO2 0.40   pH 7.52 Mandatory rate 15   PaCO2 26 mm Hg Total rate 15   PaO2 110 mm Hg Set inspiratory pressure 18 cm H2O   HCO3 – 21 mEq/L Exhaled VT 380 mL   BE 0 mEq/L I:E 1:4   SaO2 (calc) 98% PEEP 10 cm H2O       A respiratory therapist should recommend decreasing the

A 28-year-old female patient with a burn injury is being monitored in the ICU. She is 165 cm (5 ft 6 in) tall and weighs 60 kg (132 lb).  A respiratory therapist should start with which initial tidal volume?

Mutlple-Multiple Response.  Please choses as many as needed.What can be set when on PC/AC mode?

A trauma patiuent has a pleural chest tube to the left lung.  A volume-cycled ventilator is delivering an inspiratory tidal volume of 800 mL.  The expiratory tidal volume is shown to be 600 mL.  What could best explain the volume difference?

A 173 cm (5 ft 8 in), 70 kg (155 lbs) male is receiving PC-Ventilation in the ICU with the following an setting and ABG.   I-Press 26 cmH2O pH 7.28 FiO2 0.60 PaCO2 51 torr Rate 18 BPM PaO2 64 torr IT% 33% HCO3 24  mEq/L PEEP 15 cmH2O  BE  -5  mEq/L The respiratory therapist should recommend?

If a patient’s 8 ml/Kg product a Vt of 400 ml  and has a VE of 8.0 L/min.  Where should you set the Vt and RR to achieve baseline VE if the patient is going to place on the ARDS.NET Protocol at 6 ml/Kg? 

From the data below, What is the contributing to the rise in PIP? Mode VC-A/C pH 7.39   FiO2 0.6 PaCO2 48   Rate 22 PaO2 68   Vt 550 HCO3 25   PEEP 15 BE 1             Day Mon Tues Wed Thurs PIP 28 30 35 43 PL 25 26 25 26