5 a 70 kg 154 lbs post cardiopulmonary arrest patient

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5. A 70 kg (154 lbs) post-cardiopulmonary arrest patient is on a volume-cycled ventilator in the assist/control mode. The respiratory care practitioner notes the following data: Set rate 8 br/min Total rate 8 br/min FiO2 0.65 VT 850 ml The arterial blood gas results are as follows: pH 7.30 PCO2 56 mmHg PO2 78 mmHg HCO3- 21 mEq/L ABG interpretation: The patients pH is a little low and the PCO2 is high both meaning acidotic. The PO2 and HCO3 are also a little low meaning acidotic. This ABG would be interpreted as acute partially compensated respiratory acidosis. Ventilator adjustments: I would recommend increasing the rate to 12 br/min. You can tell by the ABG results that the body is already trying to compensate so increasing the rate a little will help to possibly blow off more of the CO2 and bring the pH back to normal levels.
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WEEK 2 ASSIGNMENT 5 References Ignatavicius, D. D., Workman, M. L., Blair, M., Rebar, C. R., & Winkelman, C. (2016). Medical-surgical nursing: Patient-centered collaborative care . St. Louis, MO: Elsevier. McNeily, S. A. (2015). Comprehensive review . Dayton, OH: RTS Publishing.
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  • Fall '18
  • Tim Dunkley
  • Arterial blood gas

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