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An order has been placed to conduct an SBT on a patient who is awake, alert, and following verbal commands. Which of the following ventilator settings is the most appropriate to place a patient on to complete their SBT?

True or False: Your patient is a female who has an IBW of 80 kg just successfully completed a 30 minute SBT trial on CPAP/PSV mode and the ABG results came back normal. After the SBT trial, the physician asks for you to obtain pulmonary mechanics from the patient. Below are the results NIF= -30 cm H2OVC= 1200 mlsRSBI=106Cuff Leak= YesSpontaneous Respiratory Rate=25The physician states that this patient is ready for extubation. Based on the results, is this statement true or false?

You have a patient on CPAP/PSV mode with the settings below:PS=5FiO2=30%PEEP=5Flow Trigger=2Rise Time=50%Patient Data listed below:Spontaneous Respiratory Rate=20Spontaneous VT= 500 mlsVe= 10 L/minI:E=1:4With the given information, what is the patient’s RSBI value?

Which of the following modes/methods can be used to perform a Spontaneous Breathing Trial (SBT)?I. Pressure Control VentilationII. Pressure Support VentilationIII. Automatic Tube CompensationIV. Automatic Tube CompressionV. T-Piece Trial

A patient with an IBW of 55 kg has been on ATC mode for 5 minutes with the following settings below. The patient is awake, alert, and following commands but looks a little uncomfortable. % Support= 80%FiO2=30%Peep=5Flow Trigger= 2E sense= 25%Flow Trigger= 2Patient Data listed below:Spontaneous Respiratory Rate=14Spontaneous VT= 200 mlsVe= 2.8 L/minI:E Ratio= 1:4Vital SignsHR=88RR=14SAT=96%BP= 120/80What changes, if any, can be made that can help improve this patient’s minute ventilation?

Twenty minutes after placing the patient on an SBT, the nurse calls your phone and asks if you could come back to the bedside because the patient looks uncomfortable. You come back and the patient does look uncomfortable and anxious (not severely anxious). Below are the patient’s current settingsPS=0FiO2=30%Peep=5Flow Trigger= 2Expiratory Sensitivity=25%Patient Data listed below:Spontaneous Respiratory Rate=25Spontaneous VT= 150 mlsVe= 3.75 L/minI:E Ratio= 1:4Vital SignsHR=99RR=25SAT=93%BP= 137/80You ask the nurse if anybody has touched the ventilator because the settings on display are not the settings that you placed in the beginning of the patient’s SBT 20 minutes ago. The nurse tells you that a resident came and made a few ventilator changes. What changes, if any, can be done to make the patient more comfortable during their SBT trial?

True or False: Venoarterial (VA) ECMO is primarily used in respiratory failure with adequate cardiac function.  Veno-venous (VV) ECMO is primarily used with significantly depressed cardiac function requiring circulatory support

6. Mental health does not have a huge impact on an individual’s behavior.

9. Social media has never had an impact on an individual’s mental state.

An objective of individual self-care instruction must keep in mind the patient’s on values.  Module 5: LO-1