Assignment: Ventilation and Characteristics
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Case Study 1-Anaphalactic Shock
A 19-year old female is admitted to the ER due to anaphylactic reaction to a bee sting. Upon arrival she is intubated a with a 7.5 ET tube. Her breath sounds are diminished bilaterally at the bases but wheezing and rhonchi in the apices. Her vitals are as follows: BP 152/115, HR 130, RR 10 (ventilator assisted), 8 spontaneous breaths, temperature of 100°F, and her SpO2 94%. Her currently ventilator settings are as follows: Mode – AC, VT400 mL, RR 10, PEEP 0, FiO2 100%, Flow 60 lpm, Pip 40, and Plat 28.
Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Case Study 2 – Post Op
A 62-year old man with a 35 pack/year smoking history had his left lower lobe resected because of a small-cell carcinoma.When he arrives to recovery room he is stable with an 8.0 ET tube and stable vitals. Approximately 60 minutes after his arrival the high pressure on the ventilator is sounding, terminating the breath. His vitals are as follows: BP 140/90, HR 118, RR 12 (ventilator assisted) and his SpO2 92%. Current ventilator setting are as follows – PRVC, VT 450 mL, RR 12, PEEP 5, FiO2 40%, Flow 60 lpm, Pip 50, and Plat 18. Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Case Study 3 – Pneumothorax
A 24-year old male, pedestrian struck is brought to the ER. He currently has marked diminished breaths sounds on his right side compounded with rebound tenderness. X-ray reveals that he has a tension pneumothorax on his right side with broken ribs and a compound broken left femur. He is intubated with an 8 ET tube on arrival. Prior to chest tube insertion it should be noted that the ventilator is alarming high pressure. His are vitals are as follows: BP 110/90, HR 130, RR 12 (ventilator assisted),temperature of 98.1°F, and his SpO2 96%. Current ventilator settings are as follows: Mode – PRVC, VT 500 mL, RR 12, PEEP 5, FiO2 100%, Flow 70 lpm, Pip 50, and Plat 28.
Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Week 2 Assignment – Ventilation and Characteristics Related to Obstructive and Restrictive Diseases
Case Study 4 – Sepsis
A 48-year old female is recovering from a CABG post day 3 in the heart unit. According to report, the patient lost a large about of blood in the operating room during surgery and received several units of blood. She intubated with a 7.0 ET tube and her breath sounds indicate crackles midway up bilaterally. Over the last 24 hours it should be acknowledge that the patient’s urinary output has decreased. Currently, minimal secretions are being suctioned Q 4 hrs. Vitals are as follows: BP 100/60, HR 94, RR 10 (ventilator assisted), 2 spontaneous breaths, temperature of 101°F, and her SpO2 98%. Her currently ventilator settings are as follows: Mode – AC, VT 350 mL, RR 10, PEEP 6, FiO2 60%, Flow 60 lpm, Pip 32, and Plat 24.
Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Week 2 Assignment – Ventilation and Characteristics Related to Obstructive and Restrictive Diseases
Case Study 5 – ARDS
21-year old male was admitted to the ER in a moderately deep coma due to a narcotics overdose. Patient only is responding to deep painful stimuli. The patient is intubated a with 8.5 ET tube. During introduction of a nasogastric tube he vomited and aspirated the liquid. His breath sounds indicate rhonchi bilaterally with right crackles at the base. Vitals are as follows: BP 110/55, HR 114, RR 14 (ventilator assisted), temperature of 100.2°F, and his SpO2 94%. Current ventilator settings are as follows: Mode – AC, VT 400 mL, RR 14, PEEP 10, FiO2 70%, Flow 60 lpm, Pip 44, and Plat 35.
Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________
Week 2 Assignment – Ventilation and Characteristics Related to Obstructive and Restrictive Diseases
Case Study 1-Anaphalactic Shock
A 19-year old female is admitted to the ER due to anaphylactic reaction to a bee sting. Upon arrival she is intubated a with a 7.5 ET tube. Her breath sounds are diminished bilaterally at the bases but wheezing and rhonchi in the apices. Her vitals are as follows: BP 152/115, HR 130, RR 10 (ventilator assisted), 8 spontaneous breaths, temperature of 100°F, and her SpO2 94%. Her currently ventilator settings are as follows: Mode – AC, VT400 mL, RR 10, PEEP 0, FiO2 100%, Flow 60 lpm, Pip 40, and Plat 28.
Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Case Study 2 – Post Op
A 62-year old man with a 35 pack/year smoking history had his left lower lobe resected because of a small-cell carcinoma.When he arrives to recovery room he is stable with an 8.0 ET tube and stable vitals. Approximately 60 minutes after his arrival the high pressure on the ventilator is sounding, terminating the breath. His vitals are as follows: BP 140/90, HR 118, RR 12 (ventilator assisted) and his SpO2 92%. Current ventilator setting are as follows – PRVC, VT 450 mL, RR 12, PEEP 5, FiO2 40%, Flow 60 lpm, Pip 50, and Plat 18. Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Week 2 Assignment – Ventilation and Characteristics Related to Obstructive and Restrictive Diseases
Case Study 3 – Pneumothorax
A 24-year old male, pedestrian struck is brought to the ER. He currently has marked diminished breaths sounds on his right side compounded with rebound tenderness. X-ray reveals that he has a tension pneumothorax on his right side with broken ribs and a compound broken left femur. He is intubated with an 8 ET tube on arrival. Prior to chest tube insertion it should be noted that the ventilator is alarming high pressure. His are vitals are as follows: BP 110/90, HR 130, RR 12 (ventilator assisted),temperature of 98.1°F, and his SpO2 96%. Current ventilator settings are as follows: Mode – PRVC, VT 500 mL, RR 12, PEEP 5, FiO2 100%, Flow 70 lpm, Pip 50, and Plat 28.
Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
Case Study 4 – Sepsis
A 48-year old female is recovering from a CABG post day 3 in the heart unit. According to report, the patient lost a large about of blood in the operating room during surgery and received several units of blood. She intubated with a 7.0 ET tube and her breath sounds indicate crackles midway up bilaterally. Over the last 24 hours it should be acknowledge that the patient’s urinary output has decreased. Currently, minimal secretions are being suctioned Q 4 hrs. Vitals are as follows: BP 100/60, HR 94, RR 10 (ventilator assisted), 2 spontaneous breaths, temperature of 101°F, and her SpO2 98%. Her currently ventilator settings are as follows: Mode – AC, VT 350 mL, RR 10, PEEP 6, FiO2 60%, Flow 60 lpm, Pip 32, and Plat 24.
Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Week 2 Assignment – Ventilation and Characteristics Related to Obstructive and Restrictive Diseases
Case Study 5 – ARDS
21-year old male was admitted to the ER in a moderately deep coma due to a narcotics overdose. Patient only is responding to deep painful stimuli. The patient is intubated a with 8.5 ET tube. During introduction of a nasogastric tube he vomited and aspirated the liquid. His breath sounds indicate rhonchi bilaterally with right crackles at the base. Vitals are as follows: BP 110/55, HR 114, RR 14 (ventilator assisted), temperature of 100.2°F, and his SpO2 94%. Current ventilator settings are as follows: Mode – AC, VT 400 mL, RR 14, PEEP 10, FiO2 70%, Flow 60 lpm, Pip 44, and Plat 35.
Based on the above settings and vitals, please calculate the patient’s CL and Raw in the space below. What do you think your findings mean? Please be specific with details.
Calculations:
Dynamic CL=
Static CL=
Raw =
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________
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