When it comes to James's condition, as a respiratory therapist I will suggest the SIMV mode for James's situation. Mode: SIMV Tidal volume (6-8). 75*6=450, 75*8=600. I will go with 430-550ml. RR: 18-20 breaths per minute. FI02: 50% PEEP: 5cmH20 initially but will increase it afterward if the need be. The reason I will choose SIMV mode for James is that he is spontaneously breathing, and SIMV mode allows the patient to breathe spontaneously between the ventilator set breath, it will synchronize his spontaneous breath with the ventilator. James's Respiratory rate is 24, and the normal respiratory rate is 12-20, meaning he is overworking, and he is in respiratory distress, this mode will help fix that by giving him breath at a set rate. James ABG shows respiratory acidosis, SIMV will help control his CO2 by delivering breath at a set rate. SIMV mode will help and gradually wean James off the vent once his condition improves. Mode SIMV, Vt 420-560 ml, RR of 18-22 breaths per minute, FiO2 of 50%, and PEEP of 5 cmH20.

Biomedical Instrumentation Systems
1st Edition
ISBN:9781133478294
Author:Chatterjee
Publisher:Chatterjee
Chapter11: Instrumentation In Respiration
Section: Chapter Questions
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When it comes to James's condition, as a
respiratory therapist I will suggest the
SIMV mode for James's situation.
Mode: SIMV
Tidal volume (6-8). 75*6=450, 75*8=600. I
will go with 430-550ml.
RR: 18-20 breaths per minute.
FI02: 50%
PEEP: 5cmH20 initially but will increase it
afterward if the need be.
The reason I will choose SIMV mode for
James is that he is spontaneously
breathing, and SIMV mode allows the
patient to breathe spontaneously
between the ventilator set breath, it will
synchronize his spontaneous breath with
the ventilator.
James's Respiratory rate is 24, and the
normal respiratory rate is 12-20, meaning
he is overworking, and he is in respiratory
distress, this mode will help fix that by
giving him breath at a set rate.
James ABG shows respiratory acidosis,
SIMV will help control his CO2 by
delivering breath at a set rate.
SIMV mode will help and gradually wean
James off the vent once his condition
improves.
Mode SIMV, Vt 420-560 ml, RR of 18-22
breaths per minute, FiO2 of 50%, and
PEEP of 5 cmH20.
Transcribed Image Text:When it comes to James's condition, as a respiratory therapist I will suggest the SIMV mode for James's situation. Mode: SIMV Tidal volume (6-8). 75*6=450, 75*8=600. I will go with 430-550ml. RR: 18-20 breaths per minute. FI02: 50% PEEP: 5cmH20 initially but will increase it afterward if the need be. The reason I will choose SIMV mode for James is that he is spontaneously breathing, and SIMV mode allows the patient to breathe spontaneously between the ventilator set breath, it will synchronize his spontaneous breath with the ventilator. James's Respiratory rate is 24, and the normal respiratory rate is 12-20, meaning he is overworking, and he is in respiratory distress, this mode will help fix that by giving him breath at a set rate. James ABG shows respiratory acidosis, SIMV will help control his CO2 by delivering breath at a set rate. SIMV mode will help and gradually wean James off the vent once his condition improves. Mode SIMV, Vt 420-560 ml, RR of 18-22 breaths per minute, FiO2 of 50%, and PEEP of 5 cmH20.
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