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
icon
Related questions
Question

Could you please help me with my reaction paper. 

Make a simple reaction to this. Thank you

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.
Transcribed Image Text: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.
Expert Solution
steps

Step by step

Solved in 3 steps

Blurred answer
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning