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The most reliable methos of determining whether the lungs of a patient receiving mechanical ventilation are getting stiffer and harder to ventilate is by measuring the:  

Which of the following is NOT a strategy used to reduce auto-PEEP?

You have entered a patient’s room because the high Ppeak alarm is audible. The patient is in clear distress.  They are diaphoretic and are gripping the bed rail.  Upon glancing at the monitor, you note that the BP is elevated to 148/92mmHg, the HR is now 136 bpm, the RR is 32 breaths/min, although you note the ventilator set rate is 12, and the SpO2 is 86% on 0.40 FiO2. What is your FIRST immediate action?

The following data have been collected from a patient receiving volume-controlled ventilation in the A/C mode: Vt 500ml, Rate 10/min, FiO2 0.50, PEEP 5cmH2O.  ABG values are as follows: pH 7.44, PaCO2 42 mmHg, PaO2 56 mmHg.  Based on this information what should you recommend?

This is causing your patient to have difficulty triggering the next breath on the ventilator. The sensitivity is set at -8cmH2O.  What, if any, change could you make?

Your patient is on NIV with the following settings: PS 7cmH2O, PEEP 5 cmH2O. Blood gas results are as follows: pH- 7.28, PaCO2- 52, PaO2 – 86.  What, if any changes do you want to make?

A 46yo, 50kg female post anesthesia on SIMV 8, Vt 800, FiO2 40%, PEEP 5. ABG: pH 7.5, PaCO2 26, PaO2 106. What change is needed?

A patient has arrived in the ED in severe distress due to an MVA. As their condition deteriorates, they begin to cough up blood. Intubation is necessary. You learn the patient is 80kg and are asked to initiate mechanical ventilation.  What settings will you implement? Select appropriate settings including mode, and the 3 settings in that mode.  Then include PEEP and FiO2 (1/2 point each – 3 points) Use exact values based on weight! Mode: Additional settings:                            PEEP:                                          FiO2:

Please describe one resource or capability that Deuce Sister’s currently possesses and how it contributes to the economic logic of the company. 

In your opinion, with the resource or capability you have identified, will Deuce Sisters create a sustainable competitive advantage? Apply the framework we discussed in class to evaluate the resource or capability you identified in Q6 to answer the question. Please also detail the core assumptions that allow you to come to this conclusion. If the information we gave you does not help you conclude, state what information you will need to help you determine/evaluate.