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October 2, 2019

Optimizing Oxygenation and Ventilation

APA, Medicine and Health, University

38754A 65-year-old COPD patient who weighs 70 kg is being mechanically ventilated. His ventilator settings are as follows:

SIMV 4 breaths/min
VT 650ml
FiO2 .30
Spontaneous rate 8, PEEP and PS is 0

His ABG values are:

pH 7.29
PaCO2 88 mmHg
HCO3- 30 mEq/L
PaO2 62 mmHg

Prompt Questions:
1.Interpret this patient’s ABG’s to include compensation and hypoxemia level.
2.Based on his diagnosis do you feel that he is being adequately ventilated and oxygenated? Why or Why not?
3.What changes if any would you recommended to this patient’s care plan?
4.What potential complications may patients with COPD encounter on positive pressure ventilation?

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