A 2 kg neonate is on mechanical ventilation on the following…
A 2 kg neonate is on mechanical ventilation on the following parameters and capillary blood gas results:Mode – AC pH – 7.31f – 35 PvCO2 – 53 mmHgrP – 30 cm H2O PvO2 – 42 mmHgI:Time 0.3 sec HCO3 – 25 mEq/LFIO2 – 40% BE – 0PEEP 5 cm H2O PtcCO2 – 60 mmHgVT EX – 15 ml The frequency was increased to 40. Two hours later while doing a vent check you notice that the PtcCO2 is registering at 50 mmHg. What would you do at this time?
Read DetailsA preterm newborn weighing in at 2300 grams (2.3 kg) is intu…
A preterm newborn weighing in at 2300 grams (2.3 kg) is intubated with a 3.5 ETT and is currently on pressure-control ventilation. Current settings, parameters and ABG are as follows: 10:00 AM 2:00 PM Mode PCV PCV Mandatory rate 35 breaths 35 breaths Pressure cm H2O 30 cm H2O 40 cm H2O PEEP 5 cm H2O 5 cm H2O FIO2 0.45 0.45 Exhaled VT 8.5 ml 10 ml Measured PIP 30 cm H2O 40 cm H2O pH – 7.24PaCO2 – 70 torrPaO2 – 69 torrHCO2 – 24 mEq/LBE +1SaO2 – 91%What must be done to correct the problem?
Read DetailsSeveral hours after birth, a term neonate develops tachypne…
Several hours after birth, a term neonate develops tachypnea and mild hypoxemia but has a normal pH and PaCO2. A chest x-ray shows some hyperinflation with fluid in the lung fissures. The infant responds well to low FIO2s by NC. Which of the following is most likely the problem?
Read DetailsCMV on HFOV is utilized on a preterm infant for hyaline memb…
CMV on HFOV is utilized on a preterm infant for hyaline membrane disease. Current parameters are as follows with ABG.AMP = 8 pH = 7.32Hz = 11 PaCO2 = 55 mmHgFIO2 – 0.60 PaO2 = 43 mmHgMAP = 3 HCO3 = 28 mEq/L BE = 2.5 mEq/LWhat should be done at this time?
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