You’re completing a vent check and patient assessement on yo…

You’re completing a vent check and patient assessement on your COPD with pneumonia. You auscultate expiratory wheezes bilaterally and diminished breath sounds in the lower lobes. Peak pressures are climbing and there’s a 150ml difference in your inspriatory and expiratory tidal volumes. Which waveform would you assess on the ventilator to confirm the current air trapping?

The following data is collected from a 75 kg (165 lb) patien…

The following data is collected from a 75 kg (165 lb) patient on a volume ventilator.           Mode        AC                ABG Results:  pH            7.25           Vt           420 mL                                  PaCO2      56 torr           Rate          10 min                                PaO2         66 torr         Total Rate   14 min                                HCO3         25 mEq/L          FiO2           0.60                                   BE               0          PEEP          5 cmH20 The patient’s chest x-ray indicates lobar atelectasis.  Based on these data, the most appropriate recommendation is which of the following?           

A patient with a 7.0 mm ID endotracheal tube has copious, th…

A patient with a 7.0 mm ID endotracheal tube has copious, thin secretions.  Two hours later, despite unchanged physicial findings, only very small amounts of sputum are aspirated when the patient is suctioned with a 14 Fr catheter and a pressure of -110 mmHg.  Which of the following is the most appropriate action?