You suspect a patient is receiving too large of a tidal volume on the ventilator.  What could you check to verify this?

Male patient IBW 70 kg with Guillian Barre Syndrome is trached with a 7.0 mm Trach tube and has been vented for the past 2 weeks.  Current vent settings:  PRVC 12/min, VT 450ml, fi02.28, PEEP 5 cmH20.  PIP 20 cmH20, static pressure is also 20 cmH20.  VE 5.4 L/min.  Total RR 12/min and Abg’s are within normal limits. Weaning parameters were performed with a NIF -15cmH20, VC 500ml, RSBI on CPAP with 5 cmH20 pressure support is 70.  There are no signs of respiratory distress when placed on CPAP:  RR 8/min, VT on pressure support of 5 cmH20 is 350ml.  Abg’s are the following:  pH7.30, paC02 53torr, pa02 78 torr, HC03 24 meq/L. How should you approach liberating this patient from the ventilator?

A patient on a high flow nasal cannula is on a flowrate of 35L/min and an fi02 of 1.0.  The sp02 is 88%.  What changes do you recommend?

This patient needs conventional dosing due to her age. Using the initial dosing table in your protocol what is a starting dose/frequency for this patient and explain your reasoning?  Include loading dose (if needed) and maintenance dose. 

According to the Presentation Skills PowerPoint, which is an example of a Strong Presentation Ending?

When should the next random level be taken? (Give exact date and time) 

The #31 arrow is pointing to which structure? IMG_2820.JPG [BLANK-1]

Which #35 arrow is pointing to which part of the organ? IMG_2826.JPG [BLANK-1]

The black arrow is pointing to which part of the organ? right lobe liver.png [BLANK-1]

What type of monitoring will this patient need and when will we get level(s)? (If the first dose is due today at 1800, give an exact time and date)  *Patient already received a loading dose, 1st maintenance dose is due tonight at 1800.