You are caring for a patient with an IBW of 50kg on the foll…
You are caring for a patient with an IBW of 50kg on the following settings, SIMV/VC, tidal volume 575ml, RR 12bpm, PEEP 5cmH2O, FIO2 0.40. You obtain a blood gas with the following results: ph 7.49, PaCO2 33, PaO2 82, HCO3 26. The physician asks you to make one single change, if needed. What would you do?
Read DetailsYou are caring for a patient with an IBW of 50kg on the foll…
You are caring for a patient with an IBW of 50kg on the following settings, SIMV/VC, tidal volume 475ml, RR 15bpm, PEEP 5cmH2O, FIO2 0.50. You obtain a blood gas with the following results: ph 7.29, PaCO2 56, PaO2 70, HCO3 26. The physician asks you to make one single change, if needed. What would you do?
Read DetailsAdvantages of closed suctioning include which of the followi…
Advantages of closed suctioning include which of the following?1. No need to prehyperoxygenate or posthyperoxygenate.2. No need to watch saturations during suctioning.3. Decreased risk of infection for caregiver and/or patient.4. No loss of PEEP during the procedure.
Read DetailsA male patient (83-kg IBW) is intubated and ventilated with…
A male patient (83-kg IBW) is intubated and ventilated with PC-CMV, f = 12/min, set PIP = 28 cm H2O, resulting in a VT of 510 mL. The ABG results on this setting are: pH 7.35, PaCO2 45 mm Hg, and HCO3- 23 mEq/L. Forty-eight hours later on the same settings, the ABG results are: pH 7.54, PaCO2 27 mm Hg, and HCO3- 21 mEq/L with an exhaled VT of 900 mL. The most appropriate action at this time is which of the following?
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