A physician ordered an increase in PEEP from 5 to 10 cm H2O…

A physician ordered an increase in PEEP from 5 to 10 cm H2O for a patient receiving mechanical ventilation. Immediately after the new PEEP setting was initiated, the patient’s blood pressure decreased from 130/86 mmHg to 110/74 mmHg, and the heart rate increased by 30/min. Which of the following should the respiratory therapist recommend to the physician?

A 65 year old patient recovering from an exacerbation of COP…

A 65 year old patient recovering from an exacerbation of COPD is weaning from mechanical ventilation. Parameters obtained after a 30-minute CPAP trial with an FIO2 of 0.35 are as follows:VT                                                  350 mlRespiratory rate                   20Minute ventilation               7 L/minArterial blood gas analysis reveals the following data:pH                   7.35PaCO2               45 torrPaO2                  70 torrHCO3                 24 mEq/LBE                   -1 mEq/LThe respiratory therapist should recommend which of the following?

A 70 kg (154 lb) patient with ARDS is receiving volume-contr…

A 70 kg (154 lb) patient with ARDS is receiving volume-controlled ventilation. The ventilator settings are as follows:Mode                                ACFIO2                                        0.60Mandatory Rate              12Total Rate                        12VT                                     680 mlPEEP                                10 cm H2OInspiratory flow               40 LPMInspiratory Pause             1.5 secInspiratory pattern           Square waveThe respiratory therapist should do which of the following to minimize auto-PEEP?

Due to progressive deterioration in arterial blood gas value…

Due to progressive deterioration in arterial blood gas values and continued respiratory muscle weakness, a physician elects to nasally intubate a 50 y/o, 77 kg male patient. Following insertion, the tube was secured with the 25 cm mark at the nare. After attaching a calorimetric CO2 analyzer, the respiratory therapist should note: