The nurse calls you to a patient room who is using Vapotherm…

The nurse calls you to a patient room who is using Vapotherm and states the patient went to the restroom and the unit was put in standby, when the patient returned the device was started and water began flowing out of the nasal cannula, You explained this happened because 

A patient receiving mechanical ventilation has a history of…

A patient receiving mechanical ventilation has a history of renal failure and diabetes.  The patients IBW is 65 kg.  Fluid status: 4800ml input and 2700 ml output.  Breath sounds reveal rates ½ way up on both sides.  Vent settings are AC/VC mode, rate of 10/min, VT 520ml, fi02 0.40.  PEEP 5 cmH20.  Total RR is 37/min and sp02 97%, PIP is 27 cmH20.  Abg’s:  pH 7.31, paC02 22 torr, pa02 82 torr, HC03 14, Base deficit -9.  Which of the following would you recommend? I.  Increase the set rate to 16/min Recommend diuresis/dialysis Recommend administration of NAHC03 Decrease tidal volume to 450 ml Switch the patient to PRVC