You are an ICU respiratory therapist that is performing a ve…
You are an ICU respiratory therapist that is performing a ventilator-patient assessment. You check the patient’s pressure-volume loop which looks the following: overdistention.jpg Based on the image, what do you assume is going on with your patient?
Read DetailsPEEP PIP Plat Static Compliance (Cstat) Blood Pressure (…
PEEP PIP Plat Static Compliance (Cstat) Blood Pressure (BP) Cardiac Output PaO2 5 cm H2O 25 20 50 ml/cmH2O 120/80 7 L/min 60 mmHg 8 cm H2O 30 26 55 ml/cmH2O 110/70 6 L/min 70 mmHg 10 cm H2O 37 28 60 ml/cmH2O 92/62 4.5 L/min 85 mmHg 12 cm H2O 39 32 57 ml/cm H2O 78/50 3.7 L/min 76 mmHg Based on the information seen above, what would you state is the patient’s “Optimal PEEP”
Read DetailsThe patient returns to the medical unit following transureth…
The patient returns to the medical unit following transurethral resection of the prostate (TURP). The client asks the nurse to remove the three-way Foley catheter because it is causing him to have bladder spasms. Which of the following is the best response by the nurse?
Read DetailsA patient with an IBW of 75 kg has been receiving noninvasiv…
A patient with an IBW of 75 kg has been receiving noninvasive ventilation (NIV) therapy for 30 minutes due to worsening hypercapnia and hypoxemia with the following settings below. The patient is awake, alert, and following commands. IPAP=10EPAP=5Rate=10FiO2=60%Ti=1.0 secondsPatient Data listed below:Spontaneous Respiratory Rate=14Spontaneous VT= 290 mlsVe= 4.1 L/minI:E Ratio= 1:3The physician has requested you perform an ABG to see how he is doing and the results are shown below:pH=7.29PaCO2=58HCO3=26PaO2=50SaO2=83%Based on the ABG, what changes, if any, would you make to help correct the ABG?
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