What range is now recommended for tidal volumes (VT) in a patient ...

[clmills979]

What range is now recommended for tidal volumes (VT) in a patient with ARDS who is being mechanically ventilated?
 
  a. 4 to 6 ml/kg
  b. 6 to 10 ml/kg
  c. 6 to 8 ml/kg
  d. 10 to 12 ml/kg

Question 2

Which of the following parameters are important in the management of patients with ARDS?
 
  1. Keep systolic blood pressure below 90 mm Hg.
  2. Keep hemoglobin saturation above 90.
  3. Ensure adequate urine output.
  4. Keep mean arterial pressure above 60 mm Hg.
  a. 1 and 2 only
  b. 1 and 4 only
  c. 2, 3, and 4 only
  d. 1, 3, and 4 only

[kilada]

Answer to Question 1

ANS: B
On the basis of these observations, it is now recommended that the tidal volume for patients with ARDS be initiated at 4 to 6 ml/kg.

Answer to Question 2

ANS: C
Until such tools become available, it seems prudent to prevent hypotension (systolic arterial blood pressure at >90 mm Hg, mean arterial blood pressure at >60 mm Hg), consider augmentation of DO2 in the setting of hyperlactatemia, optimize hemoglobin saturation (>90), and ensure ade-quate organ function (e.g., urine output).

[clmills979]

TYSM

[kthug]

Excellent