You are working in a 45 bed trauma ICU. Your patient in bed 5 a 28 year old female post diving board accident hospital day 5 vent day 5 has had some changes. She weighs 105lbs is 5'5, HR 112, RR not breathing over the vent, BP 115/74, BBS coarse, CXR shows ground glass throughout, and her SpO2 on 80% is 88. This morning ABG was as follows 7.28/52/72/22. Her vent settings on this ABG and currently are as follows, PRVC Vt 450, RR 12, Peep +5, Fio2 80%. Patient is sedated on propfolo and versed and not breathing over the vent does not respond to verbal stimuli. What is this patients pf/ratio? What is your diagnosis for this patient? What if anything would you change about this patient current vent settings?

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
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You are working in a 45 bed trauma ICU. Your patient in bed 5 a 28 year old female post diving board accident hospital day 5 vent day 5 has had some changes. She weighs 105lbs is 5'5, HR 112, RR not breathing over the vent, BP 115/74, BBS coarse, CXR shows ground glass throughout, and her SpO2 on 80% is 88. This morning ABG was as follows 7.28/52/72/22. Her vent settings on this ABG and currently are as follows, PRVC Vt 450, RR 12, Peep +5, Fio2 80%. Patient is sedated on propfolo and versed and not breathing over the vent does not respond to verbal stimuli. What is this patients pf/ratio? What is your diagnosis for this patient? What if anything would you change about this patient current vent settings?

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