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Mr. Flowers a 65 year old man with COPD who is intubated for…

Posted byAnonymous January 7, 2025

Questions

Mr. Flоwers а 65 yeаr оld mаn with COPD whо is intubated for acute respiratory failure. He was placed on Volume Control on A/C 14, Vt 500 mL, FiO2 35%, PEEP 5 cmH2O and a flow 60 L/min. ABGs on the vent settings were: pH 7.44, PaCO2 34 torr, PaO2 110 torr, SvO2 0.77 and C(a-v)O2 4.4 vol%. Shortly after intubation he developed hypotension and a BTFDC was inserted at bedside. The following measurements are obtained:PAP:        45/24 mmHgPCWP:     6 mmHgCVP:        1 torrB/P:          90/60 (mean 70)SVR:         930 dynes.sec.cm-5C.O.:          3.8 L/minWhich of the following is the MOST likely cause for his condition?

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