Scenario: After three days of mechanical ventilation, the client's interdisciplinary healthcare team decides to perform a ventilator weaning trial. After 30 minutes, assessment findings indicate that the client is tolerating the process well. The weaning trial is continued for an additional 90 minutes at which time an ABG is drawn and vital signs are reevaluated. For each assessment finding, use an X to indicate whether the finding is supportive of Extubation or Resuming mechanical ventilation. Provide a rationale for each choice. Assessment finding Extubation Resuming mechanical ventilation Rationale Ph 7.38 Blood pressure 120/76 mm Hg SaO2,90%. PaCO2, 43 mm Hg PaO2, 48 mm Hg Heart rate: 120 bpm HCO3-, 24 mEq/L
Scenario: After three days of mechanical ventilation, the client's interdisciplinary healthcare team decides to perform a ventilator weaning trial. After 30 minutes, assessment findings indicate that the client is tolerating the process well. The weaning trial is continued for an additional 90 minutes at which time an ABG is drawn and vital signs are reevaluated. For each assessment finding, use an X to indicate whether the finding is supportive of Extubation or Resuming mechanical ventilation. Provide a rationale for each choice. Assessment finding Extubation Resuming mechanical ventilation Rationale Ph 7.38 Blood pressure 120/76 mm Hg SaO2,90%. PaCO2, 43 mm Hg PaO2, 48 mm Hg Heart rate: 120 bpm HCO3-, 24 mEq/L
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
Section: Chapter Questions
Problem 1SRQ
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Question
Scenario: After three days of mechanical ventilation, the client's interdisciplinary healthcare team decides to perform a ventilator weaning trial. After 30 minutes, assessment findings indicate that the client is tolerating the process well. The weaning trial is continued for an additional 90 minutes at which time an ABG is drawn and vital signs are reevaluated.
For each assessment finding, use an X to indicate whether the finding is supportive of Extubation or Resuming mechanical ventilation. Provide a rationale for each choice.
| Assessment finding | Extubation | Resuming mechanical ventilation | Rationale |
| Ph 7.38 |
|
||
| Blood pressure 120/76 mm Hg |
|
||
| SaO2,90%. |
|
||
| PaCO2, 43 mm Hg |
|
||
| PaO2, 48 mm Hg |
|
||
| Heart rate: 120 bpm |
|
||
| HCO3-, 24 mEq/L |
|
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