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?
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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)
An unconscious patient (83 Kg IBW) with closed head trauma h…
An unconscious patient (83 Kg IBW) with closed head trauma has been intubated in the ER and is receiving mechanical ventilation secondary to inability to protect his airway (no gag reflex). Mode: VC-AC Set rate 14 bpm Total rate 20 bpm Vt 580 mLPEEP: 5 cmH2O FiO2: 40%pH 7.50, PaCO2 30 mmHg, PaO2 98 mmHg, HCO3 22 mEq/L, BE 0Based on this information the most appropriate action to increase the PaCO2 would be to
The RT is preparing to convert a patient from volume control…
The RT is preparing to convert a patient from volume control to pressure control ventilation on a PB 840 ventilator. While in VC, the RT obtains the following values:Vt 650 mL Flow 50 Lpm PIP: 34 cmH2O Pplat: 29 cmH2O PEEP: 12 cmH2O What is the appropriate Pinsp (delta P) for this patient in PC?
Strategies for increasing the mean airway pressure (MAP) inc…
Strategies for increasing the mean airway pressure (MAP) include which of the following? Increasing the TCT Increasing PEEP Increasing Ti Increasing Vt