Mr. Rainout is a patient with a long history of COPD, presen…
Mr. Rainout is a patient with a long history of COPD, presents to the ED with an exacerbation precipitated by bilateral pneumonia which resulted in Mr. Rainout to be placed on a mechanical ventilator. He has been in the MICU for the past 4 days with very little noted improvement on his condition. The following parameters are measured:PB = 754 torrVent Settings: A/C 14, Vt 430 mL, PEEP 12 cmH2OpH = 7.29PaCO2 = 83 torrPaO2 = 48 (SaO2 = 64%)PvO2 = 33 (SvO2 = 32%)Hb = 18.9 g/dLFiO2 = 0.30QT = 3.7 mL/mina. Calculate the alveolar air.b. Calculate the P/F ratio and state what it indicates.c. Calculate the total oxygen delivery in one minute.
Read DetailsA patient who was intubated with a history of COPD who exace…
A patient who was intubated with a history of COPD who exacerbated due to RML and RLL pneumonia has been in the MICU for the past two days with little improvement of the underlying condition. At 0700 you document the following parameters, PIP 26, Pplat 14 and then two hours later you note the following, PIP 27, Pplat 23. What is the underlying problem that has resulted in these changes?
Read DetailsWhich of the following therapeutic interventions would be ap…
Which of the following therapeutic interventions would be appropriate for a neonate with a respiratory rate of 65 breaths/minute while displaying suprasternal and substernal retractions, grunting, nasal flaring, and cyanosis, along with the following blood gas data: pH 7.31; arterial partial pressure of carbon dioxide (PaCO2), 46 mm Hg; arterial partial pressure of oxygen (PaO2), 58 mm Hg?
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