tamerbashir
Forum Elite
Topics: 20
Posts: 284
|
20. A 67-year-old woman has been intubated for 1 week after undergoing a left lobectomy for lung cancer. She has chronic obstructive pulmonary disease. Her preoperative functional vital capacity was 40% of predicted. She is awake and alert. Her blood pressure is 130/75 mm Hg, and pulse is 72/min. The ventilator settings are a synchronized intermittent mandatory ventilation of 8/min, FIO2 of 40%, and positive-end expiratory pressure of 5 cm H2O. Arterial blood gas analysis shows:
pH 7.42
PCO2 47 mm Hg
PO2 90 mm Hg
O2 saturation 96%
Which of the following is the most appropriate next step in management?
A
) Antibiotic therapy
B
) Bronchodilator therapy
C
) Chest physiotherapy
D
) Decrease inotropes
E
) Diuretic therapy
F
) Fiberoptic bronchoscopy
G
) Heparin therapy
H
) Incentive spirometry
I
) Increase FIO2
J
) Increase inotropes
K
) Increase respiratory rate
L
) Placement of thoracostomy tube
M
) Tracheostomy
N
) Wean from the ventilator
|
| drdg
Forum Senior
Topics: 31
Posts: 176
|
N.Wean from the ventilator
Explanation:
This patient has been intubated for 1 week. Now her vital signs are stable. Her ABG is acceptable. Why dose she need intubation? It is time to waen from the ventilator.
|
| neuroblastoma
Forum Guru
Topics: 100
Posts: 1,018
|
why not ??
H Incentive spirometry
|
| treblechar
Forum Junior
Topics: 4
Posts: 92
|
how about heparin therapy?
|
| neuroblastoma
Forum Guru
Topics: 100
Posts: 1,018
|
N is correct--wean off venti
|
| drdg
Forum Senior
Topics: 31
Posts: 176
|
neuroblastoma: thank you for supporting my answer.
|
| cool doctor
Forum Junior
Topics: 1
Posts: 226
|
N
the pO2 is very high
|
|
| |
| | | | | | | |
