A patient receiving noninvasive ventilation has the followin…
A patient receiving noninvasive ventilation has the following settings: IPAP 12 cmH₂O, EPAP 5 cmH₂O, rate 10/min. Recent ABG results are: pH 7.30, PaCO₂ 55 mmHg, PaO₂ 68 mmHg, HCO₃⁻ 28 mEq/L, BE +3. Which adjustment should the respiratory therapist recommend?
Read DetailsA 68-kg postoperative patient is receiving SIMV volume-contr…
A 68-kg postoperative patient is receiving SIMV volume-control ventilation with the following settings: VT 550 mL, rate 10/min, PEEP 8 cmH₂O, and FiO₂ 0.40. He is awake and appears anxious. The total respiratory rate is 30/min, peak inspiratory pressure is 36 cmH₂O, and minute ventilation is 9.0 L/min. Arterial blood gases are: pH 7.37, PaCO₂ 44 mmHg, PaO₂ 92 mmHg, HCO₃⁻ 25 mEq/L. Which action should the respiratory therapist take?
Read DetailsA trauma patient is orally intubated in the emergency depart…
A trauma patient is orally intubated in the emergency department and is being manually ventilated with a self-inflating resuscitation bag. During ventilation, the respiratory therapist notes minimal chest rise, very faint breath sounds, and a noticeable air leak from around the patient’s mouth. A chest radiograph confirms that the endotracheal tube is positioned correctly. Which issue is most likely causing this problem?
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