bronco
Forum Junior
Topics: 16
Posts: 48
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A 67 YOLD WOMAN HAS BEEN INTUBATED FOR 1 WK AFTER UNDERGOING A LEFT LOBECTOMY FOR LUNG CANCER. SHE HAS COPD . PREQX PREDICTED FVC WAS 40%. SHE IS AWAKE AND ALERT. HER BP IS 130/75 AND PULSE 72 . VENTILATOR SETTINGS ARE A SYNCHRONIZED INTERMITTENT MANDATORY VENTILATION OF 8 / MIN
FIO2 40% AND PEEP OF 5CM H2O
ABG= PH 7,42 PCO2 47 PO2 90 O2 SAT 96%
WHICH IS THE NEXT STEP IN MANAGEMENT????
A)INCREASE FIO2
B) INCREASE RESP RATE
C)PLACEMENT TORACOSTOMY TUBE
D) TRACHEOSTOMY
E)WEAN OF VENTILATOR
F)CHEST PHISIOTHERAPY
G) BRONCHOSCOPY
H)INCENTIVE SPIROMETRY
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| edualyegue
Forum Newbie
Topics: 1
Posts: 12
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Well as I see his woman is stable now, has a normal pH and her oxygen level is alright considering she has COPD and a predicted FVC of 40%, I say the answer is E.
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EDUALYEGUE
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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yes its E
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| bronco
Forum Junior
Topics: 16
Posts: 48
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SO WHICH PARAMETER DO WE HAVE TO FOLLOW , TO WEAN A PATIENT FROM A VENTILATOR.????
AND AS I SEE THIS PATIENT HAS A LITTLE INCREASE PCO2 , DO YOU THINK MAKING HER A TRACHEOSTOMY, TO DECREASE DEAD SPACE SO HE CAN VENTILATE BETTER, AND REDUCING THA CHANCE FOR ENDOTRAQUEAL TUBE EPIGLOTITIS, CAN BE AN OPTIION????
THANK YOU GUYS
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| bronco
Forum Junior
Topics: 16
Posts: 48
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ANYONE??????
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