dimps
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A 56-year-old man is admitted to the intensive care unit for acute respiratory distress syndrome (ARDS). The patient was transferred from an outside hospital today after a 2-week hospitalization for pneumonia. During that time, the patient's pulmonary status continued to deteriorate. One week ago he was intubated and placed on mechanical ventilation and over the past week, his oxygenation has worsened with a PaO2 of 66 on an inspired concentration of 100% oxygen. The patient has no other medical history except for rheumatoid arthritis. On transfer to the ICU, the patient is intubated and sedated on a mechanical ventilator. His chest radiograph shows patchy, bilateral, diffuse interstitial infiltrates. The most important intervention that will most benefit this patient is to
A. keep the patient in a prone position during mechanical ventilation
B. keep tidal volumes greater than 15 cc/kg
C. limit peak inspiratory pressure to 45 cm H2O or less
D. limit PEEP levels to less than 10 cm H2O
E. limit tidal volumes to 6cc/kg
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hi how r u
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| meg
Forum Guru
Topics: 62
Posts: 806
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E
(lung are stiff and non-compliant)
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| dimps
Forum Guru
Topics: 63
Posts: 446
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u r right meg
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hi how r u
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