A patient is receiving mechanical ventilation on a Hamilton…
A patient is receiving mechanical ventilation on a Hamilton G-5 with the following settings:Mode: (S)CMV Vt: 500 mL Set rate: 12 bpm Tot rate: 20 bpm PEEP: 12 cmH2O PIP: 35 cmH2O Pplat: 32 cmH2O FiO2: 1.0 Peak Flow: 60 LpmABGs: pH 7.47, PaCO2 33, PaO2 55, HCO3 20CXR reveals diffuse, bilateral opacities. The patient’s lung compliance has been steadily decreasing. What ventilator recommendation would be most appropriate for this patient at this time?
Read DetailsReed has been on a ventilator for 48 hours. The pressure-tim…
Reed has been on a ventilator for 48 hours. The pressure-time tracing for three separate hours is shown below. If tidal volume and flow remained the same, which of the following is/are true regarding the pulmonary mechanics for this patient?
Read DetailsThe RT is preparing to convert a patient from volume control…
The RT is preparing to convert a patient from volume control to pressure control ventilation on a PB 840 ventilator. While in VC, the RT obtains the following values: Vt 650 mL Flow 50 Lpm PIP: 34 cmH2O Pplat: 29 cmH2O PEEP: 11 cmH2OBased on these values, what is the appropriate Pinsp (delta P) for this patient in PC?
Read DetailsDuring management of a 27 yo asthmatic (55 Kg IBW) admitted…
During management of a 27 yo asthmatic (55 Kg IBW) admitted to the pulmonary ICU due to status asthmaticus, you note that the patient has a low peak expiratory flow and long expiratory flow time. The patient has been receiving inhaled beta 2 adrenergic agents via continuous nebulizer for 3 hours. What should the RRT recommend to increase expiratory time (Te)? Increase inspiratory flow Change to a constant flow pattern Increase the set frequency Increase the set PEEP
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