Indications
A pt. with a fentanyl OD has a RR of 3 with these ABGs: PCO2 62, pH 7.24, PO2 183, HCO3 22, SaO2 74% on a NRM 10 LPM. The RT knows this pt. has _______ from_________.
What is ventilatory failure from CNS depression?
This initial tidal volume range, based on PBW, is to prevent volutrauma
What is 6-8 mL/kg?
This alarm is triggered by circuit disconnections, ET tube dislodgement, or a cuff leak.
What is the Low-Pressure/Low-Volume Alarm?
This severe infection, occurring 48 hours or more after intubation carries a mortality rate of 20 to 40% is called.
What is VAP, a part of VALI?
This should be maintained at 30–45 degrees to prevent VAP.
What is the HOB - Head of the Bed?
These blood gas results, PCO2 61, pH 7.22, indicate___?
What is acute ventilatory failure (hypercapnic respiratory failure)?
What is PEEP (Positive End-Expiratory Pressure)?
This alarm, indicating increased resistance, can be caused by secretions, bronchospasm, or kinked tubing.
What is the High-Pressure Alarm?
This condition, characterized by air trapping and incomplete exhalation, often presents with a high-pressure alarm and hypotension.
What is Auto-PEEP (or intrinsic PEEP)?
Often managed with proton pump inhibitors, to prevent stress ulcers and severe GI bleeding.
What is Ulcer Prophylaxis?
A PO2 of 40 mmHg, or an SpO2 < 75%, or a P/F ratio < 200 mmHg are indicators of this type of respiratory failure
What is severe hypoxemic respiratory failure/ARDS?
This mode provides a set rate and tidal volume, but allows the patient to trigger breaths, delivering the preset Vt each breath.
What is Assist-Control (AC) Volume Control?
This alarm, often set to 100 mL or 10–15% below the set value, indicates a leak or under-ventilation.
What is the Low Exhaled Tidal Volume Alarm?
This, a dangerous accumulation of air in the pleural space, is a potential, acute, life-threatening complication.
What is a pneumothorax?
In FAST HUGS BID"BID" refers to the twice-daily assessment of these, which should be removed as soon as possible to reduce infection.
What are Indwelling Catheters (or De-escalation of antibiotics)?
Respiratory rate of 35, accessory muscle use, HR 118, is a clinical state of severe respiratory distress, diaphoresis
What is impending acute ventilatory failure
Ventilator management where the MV and FIO2 will ensure normal ABGs without the patient contributing any significant WOB is considered.
What is Full Ventilatory Support?
To prevent nuisance alarms, the high-pressure limit should be set at this level above the patient's average peak inspiratory pressure.
What is 10- 15 CWP
Positive pressure ventilation reduces preload to the heart, often resulting in this hemodynamically unstable condition.
What is hypotension?
What is Thromboprophylaxis?
A rapid reduction in this measured parameter, often indicating severe respiratory muscle fatigue or weakness, is a key indication.
What is Vital Capacity (specifically < 15 mL/kg)?
This parameter determines how much negative pressure a patient must generate to receive a mechanical breath.
What is the sensitivity?
This alarm will also trigger with repeated high-pressure limit alarms.
What is the low Vt or MV alarm?
Positive pressure communicated to this structure, along with the great veins, all located in the mediastinum, can reduce SV and CO.
What is the heart?
This daily procedure, often using RASS scores, is used to minimize the time a patient spends on the ventilator.
What is Sedation Vacation or Wake Up and Breathe?