Question

Determine initial ventilator settings for the following patient; describe not only what settings you will put her on but also the indication for ventilation and how the intubation and mechanical ventilation will be carried out.

• You are in the ER. Your patient just arrived via ambulance. He is intubated with a 9mm oral ET. He had a witnessed arrest while mowing the lawn. CPR was immediately started. Currently, he has a pulse and a blood pressure of 96/60 with dopamine. He has no spontaneous respirations. He is 72 inches tall and is 52 years old period he has no history of lung disease. His breath sounds are clear and equal bilaterally. ABG upon arrival PH 7.27, PaCO2 34 mmHg, PaO2 99 mmHg while bagging with 100% oxygen.

Answer 1

Nursing

Determine initial ventilator settings for the following patient; describe not only what settings you will put her on but also the indication for ventilation and how the intubation and mechanical ventilation will be carried out.

• You are in the ER. Your patient just arrived via ambulance. He is intubated with a 9mm oral ET. He had a witnessed arrest while mowing the lawn. CPR was immediately started. Currently, he has a pulse and a blood pressure of 96/60 with dopamine. He has no spontaneous respirations. He is 72 inches tall and is 52 years old period he has no history of lung disease. His breath sounds are clear and equal bilaterally. ABG upon arrival PH 7.27, PaCO2 34 mmHg, PaO2 99 mmHg while bagging with 100% oxygen.

ANS- In that case due to some couses patient got arrest after cpr he revived and he has no spontaneous breath he need artificiall ventilation but their lungs is fuctioning good so abg values ( PH 7.27, PaCO2 34 mmHg, PaO2 99 mmHg while bagging with 100% oxygen.)is minimal respiratory acidosis .for this situation continue mechanical ventilation as per required .

as per IBW their weigh is =45.5+2.5number of inches over 5 feet

=45.5+2.512

=45.5+30

=75.5 kg

ventilater setting shoud be initialy tidal volume 420 to 450 ml,peep 5,fio2 100% rr rate14.

as per patient conciousness the ventiletor can be weaning off as per required if patient take full spontaneous breath and heamodynamically stabel and stop every inotropic support may be plan for remove tube.