A 47-year-old, 6’1” male patient is admitted to the hospital…
A 47-year-old, 6’1” male patient is admitted to the hospital due to trauma from a motor vehicle accident. Forty-eight hours post admission, the patient is suffering from respiratory distress with severe hypoxemia and is intubated. A chest x-ray, done prior to intubation , reveals a ground glass appearance bilaterally. The physician requests the volume-controlled continuous mandatory ventilation (VC-CMV) mode for this patient. The initial settings for the ventilator should be which of the following?
Read DetailsA 47-year-old, 6’1” male patient is admitted to the hospital…
A 47-year-old, 6’1” male patient is admitted to the hospital due to trauma from a motor vehicle accident. Forty-eight hours post admission, the patient is suffering from respiratory distress with severe hypoxemia and is intubated. A chest x-ray, done prior to intubation , reveals a ground glass appearance bilaterally. The physician requests the volume-controlled continuous mandatory ventilation (VC-CMV) mode for this patient. The initial settings for the ventilator should be which of the following?
Read DetailsA 26 year old female enters the ED with labored breathing, a…
A 26 year old female enters the ED with labored breathing, a RR of 30, HR 114 bpm with chest pain. Your assessment reveals the following: shaking chills, decreased thoracic excursion on the right chest, increased tactile fremitis and a dull percussion note to RLL. Breath sounds reveal coarse crackle and wheezes to RLL. She has a strong, productive cough of thick, brown sputum, temperature of 99.5 degrees farenheit, and a WBC count of 25,000 m3.ABGs:pH 7.45PCO2 35 mmHgPO2 68 mmHgWhat should the RT recommend?
Read DetailsA 47-year-old, 5’6”, 112 lb female patient, is still under t…
A 47-year-old, 5’6”, 112 lb female patient, is still under the effects of anesthesia following a hysterectomy. Her body temperature is 37° C. She has no history of lung disease. The appropriate initial minute ventilation for this patient is which of the following?
Read DetailsA mechanically ventilated patient is going to be placed on p…
A mechanically ventilated patient is going to be placed on pressure support ventilation following an acceptable spontaneous weaning trial. The patient is a 5’9” male who weighs 185 lbs. During volume-controlled continuous mandatory ventilation (VC-CMV) his average peak inspiratory pressure (PIP) was about 26 cm H2O and the plateau pressure (PPlateau) was 16 cm H2O. What initial pressure support level should be set?
Read DetailsA 36-year-old female patient with a history of asthma is adm…
A 36-year-old female patient with a history of asthma is admitted to the ICU from the emergency department. Her respirations are 30, very labored, with accessory muscle use and bilateral inspiratory and expiratory wheezing. There is bilateral hyperresonance during chest percussion. A blood gas taken in the ICU after 1 hour of continuous aerosolized albuterol (15 mg) reveals: pH 7.38, partial pressure of carbon dioxide (PaCO2) 42mm Hg, partial pressure of oxygen (PaO2) 53 mm Hg, oxygen saturation (SaO2) 88%, bicarbonate (HCO3-) 25 mEq/L with nasal cannula 6 L/min. The patient is 5’5” and weighs 135 lbs. The most appropriate action at this time is which of the following?
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