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hero
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05/22/08 - 02:46 PM             #1

when intubated pt have to have tidal volume 6 cc/kg and when 10 cc/kg?

Q from Kaplan - pt with emphysema, had bronchitis, on antibiotic, pH 7,2, pco2 60, po2 52

become tachipneic, pco2 rises to 74, intubated.

He is 85 kg, what TV should be in this setting?
options - 500, 600, 700, 850

Edited by hero on 05/22/08 - 03:09 PM

liliaeliz
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05/22/08 - 03:04 PM             #2

T.V USED IS 10 -12 CC/KG BUT IN PATIENTS WITH ARDS USED 6-8 CC/KG BECAUASE HIGH T.V INCREASE RIESK FOR PNEUMOTHORAX

liliaeliz
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05/22/08 - 03:10 PM             #3

IF BLOOD GASES :INCREASE PaO2 WHAT DO YOU DO ?
DECREASE PaO2 WHAT DO YOU DO ?
INCREASE PaCO2 WHAT DO YOU DO ?

liliaeliz
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05/22/08 - 03:15 PM             #4

UPS I'm sorry did not read all the question

liliaeliz
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05/22/08 - 03:39 PM             #5

850


hero
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05/22/08 - 06:05 PM             #6

liliaeliz wrote:
T.V USED IS 10 -12 CC/KG BUT IN PATIENTS WITH ARDS USED 6-8 CC/KG BECAUASE HIGH T.V INCREASE RIESK FOR PNEUMOTHORAX


Is ARDS the only indication for 6cc/kg?
Step-Up says ARDS and COPD.

hir
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05/22/08 - 06:27 PM             #7

liliaeliz is right,,,,for COPD-10 cc/kg for ARDS-6cc/kg


in case of ...

increase po2: decrease fio2
decrease po2: increase fio2(maintain <60%) or increase PEEP or increase I/E ratio
increase pco2: increase TV or increase RR

liliaeliz
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05/22/08 - 06:39 PM             #8

nod

usmletopper2
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05/22/08 - 10:38 PM             #9

what is the correct answer?

600 or 850?


___________________
99/99/no us exp/need visa/not yet certified,yet to take cs in oct.

hir
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05/23/08 - 09:55 AM             #10

850







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