You are caring for a mechanically ventilated neonate at risk of developing intraventricular hemorrhage.Choose the best practice guidelines for this patient. I.Synchronized mode of ventilation
II.Adjust peak inspiratory pressure to maintain pH 7.45-7.55, PaCO₂ 40-45 mm Hg, and tidal volume within normal limits.
III.Adjust peak inspiratory pressure to maintain pH 7.25 to 7.35, PaCO₂ 40-55 mm Hg, and tidal volume within normal limits.
IV.Tidal volume 6-8 mL/kg
V.Respiratory rate 30-60 breaths/minute
VI.I-time 0.3-0.4 seCond
VII.Positive end-expiratory pressure 5-10 cm H₂O

Question

Quizplus · Accepted Answer

The best practice guidelines for a mechanically ventilated neonate at risk of developing intraventricular hemorrhage include:

I. Synchronized mode of ventilation
Neonates should receive synchronized ventilation to prevent asynchrony between the infant's respiratory efforts and the ventilator.

III. Adjust peak inspiratory pressure to maintain pH 7.25 to 7.35, PaCO₂ 40-55 mm Hg, and tidal volume within normal limits.
Maintaining optimal arterial blood gas values and normal tidal volume can help prevent intraventricular hemorrhage.

V. Respiratory rate 30-60 breaths/minute
The respiratory rate should be adjusted to maintain appropriate blood gas levels and oxygenation while minimizing the risk of barotrauma.

VI. I-time 0.3-0.4 second
The inspiratory time should be set to allow adequate time for gas exchange while minimizing the risk of lung injury.

Therefore, the best choice of practice guidelines for this patient is B.

You Are Caring for a Mechanically Ventilated Neonate at Risk