It is 1640 hours and you are making ventilator rounds in the 10-bed medical intensive care unit. You observe that the alarm is going off in the room of Opal Anderson, a seventy-year-old female. Ms. Anderson has been on the ventilator for three days following an exacerbation of congestive heart failure and pneumonia. The patient has been unresponsive to verbal stimuli during this time period. Her ventilator settings are: Mode: Set rate: Patient rate: Tidal volume: Flow: Pattern: CMV 12 Bpm 20 to 35 Bpm 700 mL 60 Lpm decelerating As you approach the patient, you note that the alarm panel indicates a high- pressure condition along with low exhaled tidal volume and minute volume. The high-pressure alarm is set to go off at 60 cm H₂O. Breath sounds are equal bilaterally but decreased in the bases. In addition, you hear faint expiratory wheezes. The patient appears to be in mild respiratory distress. What do you think is causing the alarm conditions? What can you do to fix the problem? stop. How do you assess your ot A

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Clinical Situation 9
It is 1640 hours and you are making ventilator rounds in the 10-bed medical
intensive care unit. You observe that the alarm is going off in the room of Opal
Anderson, a seventy-year-old female. Ms. Anderson has been on the ventilator
for three days following an exacerbation of congestive heart failure and
pneumonia. The patient has been unresponsive to verbal stimuli during this time
period. Her ventilator settings are:
Mode:
Set rate:
Patient rate:
Tidal volume:
Flow:
Pattern:
CMV
12 Bpm
20 to 35 Bpm
700 mL
60 Lpm
decelerating
As you approach the patient, you note that the alarm panel indicates a high-
pressure condition along with low exhaled tidal volume and minute volume. The
high-pressure alarm is set to go off at 60 cm H₂O. Breath sounds are equal
bilaterally but decreased in the bases. In addition, you hear faint expiratory
wheezes. The patient appears to be in mild respiratory distress.
What do you think is causing the alarm conditions? What can you do to fix
the problem?
stop.
How do you assess your pt?
Contenice...
Transcribed Image Text:Clinical Situation 9 It is 1640 hours and you are making ventilator rounds in the 10-bed medical intensive care unit. You observe that the alarm is going off in the room of Opal Anderson, a seventy-year-old female. Ms. Anderson has been on the ventilator for three days following an exacerbation of congestive heart failure and pneumonia. The patient has been unresponsive to verbal stimuli during this time period. Her ventilator settings are: Mode: Set rate: Patient rate: Tidal volume: Flow: Pattern: CMV 12 Bpm 20 to 35 Bpm 700 mL 60 Lpm decelerating As you approach the patient, you note that the alarm panel indicates a high- pressure condition along with low exhaled tidal volume and minute volume. The high-pressure alarm is set to go off at 60 cm H₂O. Breath sounds are equal bilaterally but decreased in the bases. In addition, you hear faint expiratory wheezes. The patient appears to be in mild respiratory distress. What do you think is causing the alarm conditions? What can you do to fix the problem? stop. How do you assess your pt? Contenice...
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