A 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?
Read DetailsA 73 year old asthmatic with chronic bronchitis and 25 pack…
A 73 year old asthmatic with chronic bronchitis and 25 pack year history of smoking is admitted into the ED. You perform a physical assessment and note the following:breath sounds: diminished with end-exhalation wheezes bibasilarRR: 35 bpmB/P 185/95accessory muscle useABGs: pH: 7.12PaCO2: 87 torrPaO2: 39 torrHCO3: 35 mEq/LWhat should be recommended at this time by the RT?
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