A 34 y/o male patient in the ICU is receiving NIPPV (BiPAP)…
A 34 y/o male patient in the ICU is receiving NIPPV (BiPAP) by full face mask. The following BiPAP settings and ABG results are below. FiO2 50% IPAP 14 cmH2O EPAP 5 cmH2O Spontaneous Respiratory Rate 12 ABG: PH 7.29 PaCO2 51 PaO2 83 HCO3 23 BE -1 Which of the following changes would you recommend to the physician?
Read DetailsFive minutes after extubating a patient, the respiratory th…
Five minutes after extubating a patient, the respiratory therapist observes marked Inspiratory stridor, intercostal retractions, labored breathing and a decreasing SpO2 value. Aerosolized racemic epinephrine has been administered with no effect. Which the following should the therapist recommend at this time?
Read DetailsA patient on a volume ventilator is on the following setting…
A patient on a volume ventilator is on the following settings: The patient’s ideal body weight is 100 kg. The patient’s vitals are stable, patient is alert and responding to commands, and the initial acute problem has improved. His current ventilator settings and ABG are listed below. Based on the data provided what is the most appropriate recommendation?SIMV (Volume)ABG Vt = 700 mlPH 7.47Rate = 10PaCO2 35 mmHgTotal Rate = 14PaO2 85 mmHgPS = 5HCO3 23 meq/LBE + 2
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