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QUESTION 7
A COPD patient arrives at the ER with complaints of shortness of breath that has worsened over the past 48 hours. He tells you that he wears
bipap at night but has not been able to wear it recently because he forgot. His pulse oximetry in the ER is 85%. ABG (arterial blood gas) was
drawn with the following results: Ph: 7.25, PCO2: 78, HCO3: 18, Pa02: 65, Sa02: 88%. What would your next step be?
Intubate the patient and start mechanical ventilation with AC 12/Tidal Volume 400/ FiO2 50/ Peep 5.
Start High Flow Nasal Cannula at 40 liters 50 % for peep affect.
Initiate Bipap 20 inspiratory pressure over 5 expiratory pressure with a backup rate of 12 with 100% Fi02
Place the patient on 2 liters nasal cannula
QUESTION 8
Which mode of ventilation delivers a mandatory set respiratory rate and tidal volume for each breath whether spontaneous or ventilator delivered?
Pressure support ventilation
Volume assist control
Pressure control ventilation
Answer & Explanation
Solved by verified expertAnswered by geekytwinstar on coursehero.com
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