Twenty minutes after placing the patient on an SBT, the nurs…
Twenty minutes after placing the patient on an SBT, the nurse calls your phone and asks if you could come back to the bedside because the patient looks uncomfortable. You come back and the patient does look uncomfortable and anxious (not severely anxious). Below are the patient’s current settingsPS=0FiO2=30%Peep=5Flow Trigger= 2Expiratory Sensitivity=25%Patient Data listed below:Spontaneous Respiratory Rate=25Spontaneous VT= 150 mlsVe= 3.75 L/minI:E Ratio= 1:4Vital SignsHR=99RR=25SAT=93%BP= 137/80You ask the nurse if anybody has touched the ventilator because the settings on display are not the settings that you placed in the beginning of the patient’s SBT 20 minutes ago. The nurse tells you that a resident came and made a few ventilator changes. What changes, if any, can be done to make the patient more comfortable during their SBT trial?
Read DetailsYou have a patient who has an IBW of 75 kg on VC SIMV with t…
You have a patient who has an IBW of 75 kg on VC SIMV with the following set parametersf=10VT=450Flow=60 L/minPS=5FiO2=40%PEEP=5Rise Time=50%The patient data is as follows:Vte= 451 mls Vtes=220 mlsVe=7.2 L/minVes=3.5 L/minPatient Rate=18Peak=20Plateau=18Compliance=31The physician requests you perform an ABG and below are the results while the patient was on the above ventilator settingspH=7.31PaCO2=48PaO2=90HCO3=22SaO2=97%Based on the results of the ABG, what ventilator changes if any would you make?
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