The following data have been obtained on a patient who is be…
The following data have been obtained on a patient who is being mechanically ventilated in volume control on a positive pressure ventilator:TIME PIP Pplat0700 30 cmH2O 20 cmH2O0900 32 cmH2O 22 cmH2O1100 33 cmH2O 27 cmH2O1300 35 cmH2O 30 cmH2OWhat is the underlying problem?
Read Details52 year old male brought to the ED status post motor cycle a…
52 year old male brought to the ED status post motor cycle accident. Imaging shows multiple head trauma and 8 broken ribs, subdural hematoma and cervical spine fracture. CT chest and abdomen shows bilateral pleural effusion and lacerated liver. Hemodynamics and VS: HR 130 BP 82/54CVP 2mmHg ICP 17 mmHg Hb 9.8 g/dLWhat would you recommend?
Read DetailsA 75-kg patient is receiving mechanical ventilation with the…
A 75-kg patient is receiving mechanical ventilation with the following data, who appears to be anxious and has mild accessory muscle use:Mode: SIMVrate: 8FiO2: 0.40Vt: 550 mLflow: 60 L/minPIP: 35 cmH2OPplat: 17 cmH2OPEEP: 3 cmH2Ospontaneous rate: 15 bpmABG:pH: 7.43PaCO2: 35 torrPaO2: 73 torrHCO3: 24 mEq/LBE: 0 mEq/LWhat should the RT recommend?
Read DetailsA patient with ARDS is receiving mechanical ventilation with…
A patient with ARDS is receiving mechanical ventilation with the following settings:Mode: PCVPIP: 20 cmH2Orate: 12 bpmTI: 1 secondI:E: 1:1FiO2: 0.50PEEP: 15 cmH2OVt exhaled: 6 mL/kgABGs:pH: 7.28PCO2: 55 torrPO2: 62 torrThe pulmonologist wants to maintain a PaCO2 of 40 to 45 mmHg. Which of the following would the respiratory therapist recommend?
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