09-27-2004, 10:41 PM
nyc
67yr old F...intubated 1 week after left sided lobectomy for lung cancer.
She has copd.
Preop fun. VC...40% of the predicted
She is awake & alert
BP...130/75...P:72/min
Ventilator settings...as synchronous intermittent mandatory vents. of 8/min....FiO240%,PEEP...5cm H2O
ABGs...
pH: 7.42
pCO2: 47
pO2 96
O2 96%
Most appropriate next step?
a)antibiotics
b)Br.dilators
c)chest physiotherapy
d)Dec. inotropes
d)Diuretics
e)Fiberoptic bronchoscopy
f)Heparin
g)incentive spirometry
h)Increase FiO2
i)Increase inotropes
j)Increase R/R
j)Placement of chest tube
k)Tracheostomy
l)Wean off the ventilator
67yr old F...intubated 1 week after left sided lobectomy for lung cancer.
She has copd.
Preop fun. VC...40% of the predicted
She is awake & alert
BP...130/75...P:72/min
Ventilator settings...as synchronous intermittent mandatory vents. of 8/min....FiO240%,PEEP...5cm H2O
ABGs...
pH: 7.42
pCO2: 47
pO2 96
O2 96%
Most appropriate next step?
a)antibiotics
b)Br.dilators
c)chest physiotherapy
d)Dec. inotropes
d)Diuretics
e)Fiberoptic bronchoscopy
f)Heparin
g)incentive spirometry
h)Increase FiO2
i)Increase inotropes
j)Increase R/R
j)Placement of chest tube
k)Tracheostomy
l)Wean off the ventilator