A 62-year-old woman is receiving ventilatory support with volume ventilation. Sh
ID: 138437 • Letter: A
Question
A 62-year-old woman is receiving ventilatory support with volume ventilation. She had abdominal surgery 10 hours ago. She has no history of smoking. Over the past few hours, the following patient information was gathered.
1. What is the most likely cause of the increase in PIP between 0700 and 1000?
2. List some of the problems that can cause this type of increase in PIP.
3. What actions should the respiratory therapist take to determine the source of this patient's problem?
Time 0700 0900 1000 Volume 450 mL 450 mL 450 mL PIP 18 cm H2O 24 cm H2O 27 cm H2O Pplateau 13 cm H2O 12 cm H2O 14 cm H2OExplanation / Answer
Answer 1: The total amount of airway pressure delivered by the ventilator to overcome resistive and elastic work is defined as peak pressure.The cause of increase in PIP can be increased airway resistance.
Answer 2:Some of the problems which can cause increased airway resistance are increased secreation, bronchospam, bitting on ventillator tubing and decreased lung compliance.
Answer 3: The first thing that the respiratory therapist should take is to
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