Upon entering an I.C.U., you notice a volume ventilator reac…

Upon entering an I.C.U., you notice a volume ventilator reaching the pressure limit with each cycled breath. The cause(s) could be due to: I. bronchospasm II. excessive patient secretions III. patient who is coughing IV. insufficient flow set V. leak in ventilator circuit

You are caring for a 25 year old male post op for a lap chol…

You are caring for a 25 year old male post op for a lap choly. His estimated IBW is 72 kgs. He has diminished breath sounds bilaterally. His RR is 26, VC 480 ml, VT 290. His nurse comments that the patient is a “slug” who will not do his IS despite repeated reminders. Based on this data, what would you recommend?

You are caring for a ventilated patient who is a 79 year old…

You are caring for a ventilated patient who is a 79 year old morbidly obese male with severe COPD. Current ventilator settings are SIMV with pressure support VT 600 rate 12 FiO2 40% and PEEP of 5. Current chest radiograph reveals hyper inflation with a lower lobe infiltrate. Current ABGs are within normal limits. However, the low minute ventilation alarm begins alarming and you note the minute ventilation is 2.9 liters. This alarm could be caused by: I. An over inflated cuff on the endotracheal tube II. A leak in the ventilator circuit III. A dislodged endotracheal tube IV. A pneumothorax