vent changes
4 basic life functions
ventilation, oxygenation, circulation, perfusion
HME TRANSPORT
<96 hours
over distended "birdbeak"
decrease vt or pip
pa02
>60 torr on <40%
nbrc mode sequence
cmv>ac>simv>cpap/psv>tpiece>extubate
dr wants to decrease paco2 while keeping mv the same
increase ps
best heating temp
37c
decrease cL
increase peep
peep
<5cmh20
copd fi02
24-28% not pass 30%
if paco2 is high
remove mechanical deadspace IF MENTION
increase vt or pip
increase rr
last change mode or sedate
suction sec.
15
autopeep
increase flow, peep or e time
decrease i time
qs/qt
<20%
100% fio2
ards
post code
smoke inhale
co posion
post mi
drug od
if paco2 is low
treat underlying cause
decrease rr
decrease vt or pip
last add mv deadspace change mode or sedate
low pressure alarm
pt disconnect
leak
et or trach cuff
leak
start w. pt check connection
sa02
>90 on <40%
tx hypovolemia
nor epinephrine, dupamine, dobutamine
fluids, blood
if pa02 is low
increase fi02
increase peep
add insp. hold
increase vt
low exhaled volume
pt disconnect
low spontaneous vt
vt changed but not alarm
secretions
suction, remove h2o from circuit
p/f ratio
>200
pa02/fio2 check ards
static compliance
vt/ (pplat-peep)