While monitoring a patient during a T tube weaning trial, yo…
While monitoring a patient during a T tube weaning trial, you notice the following: increased patient agitation; increased heart rate (from 90 to 118/min); increased respiratory rate (from 17 to 33/min with some paradoxical motion); and premature ventricular contractions (PVCs) increasing to an average of 5/min. Which of the following actions would be appropriate at this time?
Read DetailsAn alert patient receiving ventilatory support through a dem…
An alert patient receiving ventilatory support through a demand flow intermittent mandatory ventilation system exhibits clinical signs of an increased work of breathing whenever you try to decrease the mandatory rate below 6/min. In order to aid in weaning this patient, which of the following would you recommend?
Read DetailsThe pathogenesis of VAP involves:1. colonization of the aero…
The pathogenesis of VAP involves:1. colonization of the aerodigestive tract.2. aspiration of contaminated secretions into the lower airways.3. increased use of silver-coated endotracheal tubes.4. colonization of lower airways and lung parenchyma.
Read DetailsAn alert patient receiving intermittent mandatory ventilatio…
An alert patient receiving intermittent mandatory ventilation at a rate of 8/min and VT of 600 ml has stable vital signs and satisfactory blood gases on an FiO2 of 0.45. What would you do to initiate weaning for this patient?
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