When it comes to James's condition, as a respiratory therapist I will suggest the SIMV mode for James's situation. Mode: SIMV Tidal volume (6-8). 75*6=450, 75*8=600. I will go with 430-550ml. RR: 18-20 breaths per minute. FI02: 50% PEEP: 5cmH20 initially but will increase it afterward if the need be. The reason I will choose SIMV mode for James is that he is spontaneously breathing, and SIMV mode allows the patient to breathe spontaneously between the ventilator set breath, it will synchronize his spontaneous breath with the ventilator. James's Respiratory rate is 24, and the normal respiratory rate is 12-20, meaning he is overworking, and he is in respiratory distress, this mode will help fix that by giving him breath at a set rate. James ABG shows respiratory acidosis, SIMV will help control his CO2 by delivering breath at a set rate. SIMV mode will help and gradually wean James off the vent once his condition improves. Mode SIMV, Vt 420-560 ml, RR of 18-22 breaths per minute, FiO2 of 50%, and PEEP of 5 cmH20.
When it comes to James's condition, as a respiratory therapist I will suggest the SIMV mode for James's situation. Mode: SIMV Tidal volume (6-8). 75*6=450, 75*8=600. I will go with 430-550ml. RR: 18-20 breaths per minute. FI02: 50% PEEP: 5cmH20 initially but will increase it afterward if the need be. The reason I will choose SIMV mode for James is that he is spontaneously breathing, and SIMV mode allows the patient to breathe spontaneously between the ventilator set breath, it will synchronize his spontaneous breath with the ventilator. James's Respiratory rate is 24, and the normal respiratory rate is 12-20, meaning he is overworking, and he is in respiratory distress, this mode will help fix that by giving him breath at a set rate. James ABG shows respiratory acidosis, SIMV will help control his CO2 by delivering breath at a set rate. SIMV mode will help and gradually wean James off the vent once his condition improves. Mode SIMV, Vt 420-560 ml, RR of 18-22 breaths per minute, FiO2 of 50%, and PEEP of 5 cmH20.
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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