Ventilator Settings Cases PDF

A patient is ventilated with AC-VC, VT 1000 ml, Set Rate= 12 breaths/min, I:E Ratio = 1:2 in constant flow waveform. Case 1 What is the inspiratory flow necessary to achieve above settings? s Tat p tinsp 1.66see...

A patient is ventilated with AC-VC, VT 1000 ml, Set Rate= 12 breaths/min, I:E Ratio = 1:2 in constant flow waveform. Case 1 What is the inspiratory flow necessary to achieve above settings? s Tat p tinsp 1.66see zexp Inspflow ist.me of 3571 Llmin  7 t milk IBw Perfect A 65-kg IBW man with is bilateral pneumonia is on SIMV-VC mode, set VT=500 ml, SIMV rate= 16, , no spontaneous breaths. FiO2= 0.40, PEEP = 5. a t normal ABG results: pH 7.49, PaCO2 30, PaO2 85. Case 2 goalisto our normalno pacolevelto return byadjustingre resp alkalosis What will be your action? DesiredRR nM 3 12 knowjf.EE 40 Decrease RRto 12 bimin toachievedesiredPaco  A patient is being mechanically ventilated on the following settings: AC-VC, VT 600, set Rate 12, FiO2 0.65, PEEP 10. Fiosmanipulatedbecauseitcausesmorecomplications normal normal 9 ABG: pH 7.41, PaCO2 38, PaO2 156. Case 3 Hyperoxemia What would be the appropriate ventilator change? Desired fioz gedDad knowfjg.in p g9oe so 38 Decrease Fiorto 0.38toachievedesired Pao  12mi I ks IBW A 55-kg IBW adult patient is ventilated on SIMV-PC mode, set P = 30 cmH2O, exhaled VT= 660 ml, Rate=12, no spontaneous efforts. weshould acrisisratherthanRR manipulated t n normal ABG results: pH=7.55, PaCO2=28, PaO2=87 on FiO2 of 0.45. Case 4 goalisto pacolevelto our return by normalno adjustingv resp alkalosis What would be the most appropriate action? Desired v s knowpyjknig.tn 66 28 462 Decrease V to 462 to achievedesired Paco2 Becausethe mode is PC RT manipulate PIPuntil hereachestheneeded u  An adult patient with bilateral pneumonia is ventilated on AC-VC mode, VT= 500 ml, Rate=14, FiO2 0.60, PEEP 6 cmH2O Dueto fio highlevelweshouldmanipulatePEEP normal normal ABG results: pH=7.41, PaCO2=44, HCO3= normal 25, PaO2=65. Case 5 Mild hypoxemia What would be the most appropriate action? increasePEEP 2 3 amH2O  A comatose and apneic patient with closed- specialcase head injury is being mechanically ventilated. He is on AC-VC mode, VT= 600 ml (8 ml/kg), set Rate=10, no spontaneous efforts. normal normal slightlyhigh ABG results: pH=7.39, PaCO2=40, PaO2=108 on FiO2 of 0.30. Case 6 What would be the most appropriate action? No change or decrease fioz slightly  8milksIBW we cannot increase it An adult patient (60 Kg IBW) is being ventilated on AC-VC mode with the following settings: VT=500 ml, set rate=17, PEEP=12. Measured PIP= 41, Pplat = 33. be so should ptatriskof hemodynamicinstabilty pneumothorax t p ABG results: pH=7.31, PaCO2=51, PaO2 54, HCO3=22, FiO2=0.60. Case 87 Dueto fio highlevelweshouldmanipulatePEEP resp acidosis withmoderate hypoxemia What would be the most appropriate action at this time? change to ACPCmode setappropriatePIPuntilyoureaches v sooml thereby Polat230 increase 1212 to 2 toachievedesiredPacoccalculated co increasePEEP2.3omit