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An Adult Patient with ARDS Is Being Ventilated with VC-CMV Δ\Delta

Question 1

Multiple Choice

An adult patient with ARDS is being ventilated with VC-CMV.The settings are: f = 14 breaths/min;VT = 375 mL;PEEP = 16 cm H2O;and FIO2 = 0.8.The patient's ABG values are: pH = 7.40;PaCO2 = 56 mm Hg;PaO2 = 48 mm Hg;and SaO2 = 83%;the mean airway pressure is 18 cm H2O.The patient's physician decides on a trial of HFOV.What initial ventilator settings should be used?


A) Bias flow = 30 L/min;mPaw = 23 cm H2O;set power to obtain Δ\Delta P = 76 cm H2O;f = 6 Hz;TI = 33%;FIO2 = 1.0
B) Bias flow = 35 L/min;mPaw = 76 cm H2O;set power to obtain Δ\Delta P = 33 cm H2O;f = 10 Hz;TI = 50%;FIO2 = 1.0
C) Bias flow = 20 L/min;mPaw = 18 cm H2O;set power to obtain Δ\Delta P = 76 cm H2O;f = 8 Hz;TI = 33%;FIO2 = 1.0
D) Bias flow = 30 L/min;mPaw = 30 cm H2O;set power to obtain Δ\Delta P = 56 cm H2O;f = 6 Hz;TI = 50%;FIO2 = 1.0

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