A patient is intubated in the ICU for airway management post…
A patient is intubated in the ICU for airway management post intracranial hemorrhage. Ventilator settings are PRVC rate of 18/min, VT 600ml, fi02 .30, PEEP 5 cmH20. The patient’s IBW is 75 kg. ΔP is 22 cmH20. Abg’s on these settings: sp02 97%, pH 7.58, paC02 22torr, pa02 90 torr, HC03 22 meq/L, Base Excess -2. What changes would you recommend, if any?
Read DetailsA patient is switched from PRVC to SIMV mode, rate of 10/min…
A patient is switched from PRVC to SIMV mode, rate of 10/min, VT 350 ml, fi02 0.40, PEEP 5 cmH20, Pressure Support 8 cmH20, I-time is 1.0 second in which she had a comfortable work of breathing. After the switch, here are the ventilator parameters: PIP 36 cmH20, PPlat 20 cmH20, spon VT 200 ml’s, total RR 35/min, I:E 1:1, Ve 11.5 L. Patient Assessment: increased work of breathing with paradoxical respirations noted. Abg’s: pH 7.38, paC02 43 torr, pa02 65 torr, HC03 22 meq/L, B.E. -What could you attribute this clinical picture to?
Read DetailsRead p.164, Understanding the Structure of the Presentation,…
Read p.164, Understanding the Structure of the Presentation, in your Textbook. A well organized presentation has 3 parts: an Introduction, a Body, and a Conclusion. For your presentations, you will need to use these phrases when introducing information/topics for each of these 3 parts. Match the Useful Phrases for Presenting on pages 173-174 with the correct part of a presentation.
Read DetailsMale patient IBW 70 kg with Guillian Barre Syndrome is trach…
Male patient IBW 70 kg with Guillian Barre Syndrome is trached with a 7.0 mm Trach tube and has been vented for the past 2 weeks. Current vent settings: PRVC 12/min, VT 450ml, fi02.28, PEEP 5 cmH20. PIP 20 cmH20, static pressure is also 20 cmH20. VE 5.4 L/min. Total RR 12/min and Abg’s are within normal limits. Weaning parameters were performed with a NIF -15cmH20, VC 500ml, RSBI on CPAP with 5 cmH20 pressure support is 70. There are no signs of respiratory distress when placed on CPAP: RR 8/min, VT on pressure support of 5 cmH20 is 350ml. Abg’s are the following: pH7.30, paC02 53torr, pa02 78 torr, HC03 24 meq/L. How should you approach liberating this patient from the ventilator?
Read DetailsThis patient needs conventional dosing due to her age. Using…
This patient needs conventional dosing due to her age. Using the initial dosing table in your protocol what is a starting dose/frequency for this patient and explain your reasoning? Include loading dose (if needed) and maintenance dose.
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