This topic contains a solution. Click here to go to the answer

Author Question: The therapist is mechanically ventilating an ARDS patient who weighs 89 kg (IBW). The initial Vt was ... (Read 57 times)

natalie2426

  • Hero Member
  • *****
  • Posts: 524
The therapist is mechanically ventilating an ARDS patient who weighs 89 kg (IBW). The initial Vt was set at 530 ml. At that time, the Pplateau was 30 cm H2O. Now the Pplateau has increased to 35 cm H2O. What should the therapist do at this time?
 
  A. Decrease the Vt to 5 ml/kg.
  B. Maintain the Vt at 6 ml/kg, but decrease the respiratory rate.
  C. Increase the Vt to 8 ml/kg.
  D. Add 5 cm H2O PEEP.

Question 2

Based on recent clinical trials, what is the initial tidal volume that is recommended for ARDS patients?
 
  A. <4 ml>  B. 4 to 6 ml/kg
  C. 8 to 10 ml/kg
  D. >10 ml/kg



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

enass

  • Sr. Member
  • ****
  • Posts: 380
Answer to Question 1

ANS: A
A. Correct response: Based on the data derived from the ARDSnet study, further reduction of the Vt is necessary if the Pplateau is greater than 30 cm H2O, and increase the Vt up to 8 ml/kg if severe respiratory acidosis is present, or if severe patient-ventilator dyssynchrony is present provided that the Pplateau remains below 30 cm H2O.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A

Answer to Question 2

ANS: B
A. Incorrect response: See explanation B.
B. Correct response: At the present time, the recommended initial tidal volume setting for ARDS patients is around 4 to 6 ml/kg of ideal body weight.
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.




natalie2426

  • Member
  • Posts: 524
Reply 2 on: Jul 16, 2018
Gracias!


xthemafja

  • Member
  • Posts: 348
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Did you know?

The average person is easily confused by the terms pharmaceutics and pharmacology, thinking they are one and the same. Whereas pharmaceutics is the science of preparing and dispensing drugs (otherwise known as the science of pharmacy), pharmacology is the study of medications.

For a complete list of videos, visit our video library