Arterial blood gas Interpretation
38755 Provide an interpretation for each ABG (include compensation and hypoxemia levels)
•Identify the problem (ventilation, oxygenation, or both)
•Provide your recommendation for correcting the problem. (include all formulas, calculations, and units of measure)
1. A patient is on SIMV – 6, VT – 700, FIO2 – .85, PEEP +5. The ABG results are as follows:
PH 7.44
PaCO2 36 torr
HCO3 23 mEq
PaO2 229 torr
2. A patient is being ventilated follow an exploratory abdominal surgery. His lean body weight is 110 lb. He is on AC mode, 550ml, and a mandatory rate of 14 without any spontaneous respiratory efforts, FIO2 .40.
ABG results are as follows:
pH 7.51
PaCO2 31 torr
HCO3 24 mEq
PaO2 100 torr
3. A 68 Kg patient has the following ABG results on SIMV mode, rate of 12, VT 550, FIO2 of .30, PEEP 0. No spontaneous breaths are noted.
PH 7.23
PaCO2 68 torr
HCO3 24 mEq
PaO2 83 torr
4. A 12-year- old female weighing 40kg (88 lb) is receiving continuous mechanical ventilation following an accidental drug overdose. The respiratory care practitioner notes the following:
Mode – SIMV
Set rate – 12br/min
Total rate –12br/min
Vt – 750 ml
FiO2 – 0.30
Arterial blood gases are as follows:
Ph – 7.58
PCO2 – 23mmHg
PO2 – 141mmHg
HCO3 – 22mEq/L
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
Submit your answers in at least 500 of your own words on a Word document with at least 1 citation. You must cite your references in APA format where appropriate to defend and support your position.
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