RESPIRATORY SUPPORT

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RESPIRATORY SUPPORT

• Case Studies
• 2009

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(No Transcript)
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Patient 2 3 mo old, 6 kg, in severe
respiratory distress 2nd to RSV Bronchiolitis.

• ____________________________________________
• ABGs on 100 FiO2
• Ph 7.15
• PCO2 60
• PO2 85
• Sat90
• Bic15
• BE-5.

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ASSESSMENT

• ABG assessment __________________________________
  _________________________________________________
  ___________________
• Physiological Assessment and _____________________
  _____________
• Initial therapies _____________________
• __________________________________

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MECHANICAL VENTILATION

• 1.- SELECT VENTILATOR
• Bear Cub750 (Neonatal lt 10 Kg)?
• BP 840 Adult Ventilator gt large infant
• 2.- SEECT MODE OF VENTILATION
• CPAP - BI-PAP
• CPAP with SIMV
• SIMV
• SIMV with Pressure Support
• Others

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ORDERS

• 1. Mode ________
• 2. Rate _________
• 3. PIP / TV _________
• 4. I Time _________
• 5. Flow __________
• 6. PEEP/CPAP __________
• 7. FiO2 __________
• 8. IPAP / EPAP __________

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Patient 3 15 months old, 12 kg, with complex
febrile Sz., alter mental status and hypo-
ventilation. (Vomited milk when being ambubag.)?

• ____________________________________________
• ABGs on non rebreathing oxygen mask
• Ph7.2
• PCO255
• PO2250
• Sat100
• Bic20
• BE-1.

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Patient 4 10 years old in severe respiratory
distress 2 nd to Status Asthmaticus.

• ____________________________________________
• ABGS on non rebreathing oxygen mask,
• Ph7.12
• PCO260
• PO280
• Sat90
• Bic16
• BE-4.

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Patient 5 10 year old, 35 kg with SSD and ACS
(Bilateral extensive lung infiltrates) in Severe
respiratory distress and hypoxia. O2 Sats 85 on
100 FiO2

• ____________________________________________
• ABGS (on 100 FiO2)
• Ph7.35
• PCO230
• PO255
• Sat84
• Bic17
• BE-4

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Patient 6 15 year old female, 55 kg, with
history of multiple drug overdoses, alter Mental
status and hypoventilation.

• ____________________________________________
• ABGS on non rebreathing oxygen mask,
• Ph 7.2
• PCO2 60
• PO2480
• Sat100
• Bic20
• BE-1.