Author Question: The average tidal volume range in an individual with no pulmonary problems is which of the ... (Read 45 times)

audragclark · **on:** Jul 16, 2018

The average tidal volume range in an individual with no pulmonary problems is which of the fol-lowing?

a. 4-5 mL/kg IBW
b. 5-8 mL/kg IBW
c. 8-10 mL/kg IBW
d. 12-15 mL/kg IBW

Question 2

A patient in the ICU has a chest X-ray that shows bilateral infiltrates and has the following he-modynamic measurements:

: central venous pressure (CVP) 3 mm Hg, pulmonary artery pressure (PAP) 21/10 mm Hg, and pulmonary artery occlusion pressure (PAOP) 8 mm Hg. These findings are consistent with which of the following?
a. Acute respiratory distress syndrome
b. Cardiogenic pulmonary edema
c. Pulmonary hypertension
d. Right heart failure

Chocorrol77 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: B
Recommended guidelines are to target the VT to 5-8 mL/kg ideal body weight (IBW) while en-suring that the plateau pressure (Pplateau) is maintained at less than 30 cm H2O.

Answer to Question 2

ANS: A
The central venous pressure (CVP) and pulmonary artery pressure (PAP) are both within normal limits. Therefore, there is no pulmonary hypertension and no right ventricular failure. The bilateral infiltrates with a normal pulmonary artery occlusion pressure (PAOP) do not suggest cardiogenic pulmonary edema but are indicative of acute respiratory distress syndrome (ARDS).