What ventilator settings should a therapist select for a newborn with respiratory distress syndrome?
I.PIP 25-30 cm H₂O
II.PEEP 3-6 cm H₂O
III.VT 5-6 mL/kg
IV.Frequency 60 breaths per minute

Question

Quizplus · Accepted Answer

Generally,once the infant is stabilized and in the NICU,a pressure-limited ventilator utilizing a sinusoidal flow pattern is used.Peak inspiratory pressures (PIPs)generally begin at 15 to 25 cm H₂O,depending on the size of the infant and the severity of the disease,to establish a tidal volume (VT)between 3 and 5 mL/kg.Positive end-expiratory pressure (PEEP)levels of 3 to 6 cm H₂O are used to prevent further alveolar collapse,and rates of 20 to 50 breaths per minute are used to treat hypercapnia.Inspiratory times should be initiated at 0.3 to 0.4 second.If a longer inspiratory time is required before surfactant administration,it should be lowered to 0.3 second after surfactant is administered.

What Ventilator Settings Should a Therapist Select for a Newborn