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Scenario: After three days of mechanical ventilation, the client's interdisciplinary healthcare team decides to perform a ventilator weaning trial. After 30 minutes, assessment findings indicate that the client is tolerating the process well. The weaning trial is continued for an additional 90 minutes at which time an ABG is drawn and vital signs are reevaluated. For each assessment finding, use an X to indicate whether the finding is supportive of Extubation or Resuming mechanical ventilation.  Provide a rationale for each choice. Assessment finding Extubation Resuming mechanical ventilation Rationale Ph 7.38         Blood pressure 120/76 mm Hg         SaO2,90%.         PaCO2, 43 mm Hg         PaO2, 48 mm Hg         Heart rate: 120 bpm         HCO3-, 24 mEq/L

Scenario: After three days of mechanical ventilation, the client's interdisciplinary healthcare team decides to perform a ventilator weaning trial. After 30 minutes, assessment findings indicate that the client is tolerating the process well. The weaning trial is continued for an additional 90 minutes at which time an ABG is drawn and vital signs are reevaluated. For each assessment finding, use an X to indicate whether the finding is supportive of Extubation or Resuming mechanical ventilation.  Provide a rationale for each choice. Assessment finding Extubation Resuming mechanical ventilation Rationale Ph 7.38         Blood pressure 120/76 mm Hg         SaO2,90%.         PaCO2, 43 mm Hg         PaO2, 48 mm Hg         Heart rate: 120 bpm         HCO3-, 24 mEq/L

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach
Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach
5th Edition
ISBN:9781285244662
Author:White
Publisher:White
Chapter28: Weaning And Discontinuation Of Mechanical Ventilation
Section: Chapter Questions
Problem 3SEPT
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Scenario: After three days of mechanical ventilation, the client's interdisciplinary healthcare team decides to perform a ventilator weaning trial. After 30 minutes, assessment findings indicate that the client is tolerating the process well. The weaning trial is continued for an additional 90 minutes at which time an ABG is drawn and vital signs are reevaluated.

For each assessment finding, use an X to indicate whether the finding is supportive of Extubation or Resuming mechanical ventilation.  Provide a rationale for each choice.

Assessment finding Extubation Resuming mechanical ventilation Rationale
Ph 7.38    

 

 
Blood pressure 120/76 mm Hg    

 

 
SaO2,90%.    

 

 
PaCO2, 43 mm Hg    

 

 
PaO2, 48 mm Hg    

 

 
Heart rate: 120 bpm    

 

 
HCO3-, 24 mEq/L    

 

 

 

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