A 58 kg patient is receiving mechanical ventilation via the PB 980 in the ICU. Ventilator and ABG results are: ABG: pH 7.28/ PaCO2 56/ PaO2 76/ HCO3 25Mode: PC-AC FiO2: 1.0 Mandatory Rate: 14 bpm Total rate: 14 bpm PEEP: 10 cmH2O Ti: 1.1 sec with a “no flow” zone on insp. Exhaled Vt: 410 mL Pinsp: 13 cmH2O Which of the following changes choices would improve ventilation of this patient? Increase the mandatory rate to 16 Change the mode to SIMV Increase Pinsp to 15 cmH2O Increase the Ti to 1.8 sec
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What is normal carbon dioxide production (DCO2) in a minute…
What is normal carbon dioxide production (DCO2) in a minute in an adult patient?Answer: CO2 production ______________ mL/min
The RRT is managing a patient on VC-SIMV with the following…
The RRT is managing a patient on VC-SIMV with the following parameters:Set rate: 8 bpm Total rate: 12 bpm Vt:700 mL Spont Vt: 220 mLPIP: 26 cmH2O PEEP: 5 cmH2O PS: 5 cmH2O Peak Insp Flow: 50 Lpm What will happen if the RRT decreases the set mechanical tidal volume to 600 mLs?
A 62 kg patient has been mechanically ventilated for 8 hours…
A 62 kg patient has been mechanically ventilated for 8 hours after being admitted via the ER for respiratory failure secondary to pneumonia. He is on the following settings:Mode: VC-SIMV PEEP: 5 cmH2O Peak Flow: 40 Lpm FiO2: 50 Total Rate: 14 bpm Set Rate: 8 bpm PIP: 24 cmH2O Pplat: 17 cmH2O Mandatory Vt: 440 mL Spont Vt: 250 mL Which of the following changes will increase minute ventilation for this patient?
A patient in the cardiac ICU has developed hypervolemia and…
A patient in the cardiac ICU has developed hypervolemia and pulmonary edema. This diagnosis would show which of the following changes in pulmonary mechanics?
Given the following ventilator settings, what FiO2 is needed…
Given the following ventilator settings, what FiO2 is needed to achieve a PaO2 of 80 torr?Mode: VC-SIMV Set rate: 12 bpm Total rate: 16 bpm Vt: 400 mLPEEP: 7 cmH2O FiO2: 40% pH 7.41, PaCO2 43 mmHg, PaO2 60 mmHg, HCO3 22 mEq/L
The RRT is preparing a PB840 ventilator for admission of a 7…
The RRT is preparing a PB840 ventilator for admission of a 70 kg patient to the ICU following surgery. The physician has written an order for PC-SIMV. Which of the following parameters will the respiratory therapist directly set on the ventilator? Inspiratory flow Mandatory rate Inspiratory pressure Inspiratory time
While on mechanical ventilation (PC and/or VC), acceptable s…
While on mechanical ventilation (PC and/or VC), acceptable strategies to improve oxygenation include which of the following? Increasing inspiratory time Increasing FiO2 Increasing mean airway pressure Adding PEEP
Después de guerra civil española, México acogió a miles de e…
Después de guerra civil española, México acogió a miles de españoles del _____ republicano.
You are managing a patient with severe pneumonia who was int…
You are managing a patient with severe pneumonia who was intubated and placed on positive pressure mechanical ventilation two hours ago. The goals of mechanical ventilatory support for this patient include: Stabilizing the chest wall Maintaining acceptable lung volumes Ensuring adequate tissue oxygenation Reducing the level of WBCs in the sputum Reduction in the work of breathing (WOB)