[Verified Answer]: You are a Respiratory Therapist working in…

You are a Respiratory Therapist working in a 450 bed tertiary hospital. You are assigned to the adult intensive care unit for the evening and in charge of the ventilator patients there. As a part of your assignment you are required to perform the following routine tasks on the ventilators. Please perform these tasks and make any recommendations that you feel are appropriate. TASKS TO BE PERFORMED 1. ABG Interpretation-acute respiratory acidosis 2. Static compliance-VT/plat-peep=800/40-8=25 3. A-aDO2 (PAO2 minus PaO2)= 4. P/F ratio 4. Vd/Vt ratio=65-30/65=0.538 or 53.8% 5. Airway resistance=PIP-Plat/Flow(L/sec)=50-40/40(L/min)=15L/sec 7. % Shunt 8. Inspiratory time, expiratory time and I:E ratio= Insp time=800/666.7=1.19, expir. time=5-1.19=3.8, I:E ratio=1.19/1.19:3.8/1.19=1:3.19 . PATIENT DATA WT. 150 LBS. ABG’S ON VENT HT. 5’11” pH 7.23 AGE 22 PaC02 65 TORR GENDER: MALE HCO3 23 Pa02 75 Sa02 93% Hb 9 gms PeCO2 30 TORR HR 110/min VENT SETTINGS BP 96/74 Temp. 101.3 F Vt 800 PvO2 53 TORR f 12/min. SvO2 70% FI02 .65 Peak press. 50 cwp Static press. 40 cwp Peak flow 40 L/min. PEEP 8 cwp