Practice Quiz

Respiratory Therapist

Category - Initiation and Modification of Interventions

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A 66-year-old Caucasian female was admitted to the hospital following a motor vehicle accident. She was intubated following acute respiratory failure and has been receiving mechanical ventilation for three days. Her ventilator settings are CMV with a VT 475 mL, RR 13, and FIO2 of 45%. She has an oxygen saturation of 95%, heart rate is 87, and blood pressure 119/82.

The physician would like to proceed with weaning from ventilator.

Which of the following is an accurate recommendation for the patient?
  1. Place patient on SIMV
  2. Place patient on T-tube trial
  3. Extubate the patient
  4. Verify all sedatives are discontinued
Explanation
Answer: D-The first recommendation is to verify all sedatives have been discontinued.

A patient who is sedated will fail any attempt at weaning from mechanical ventilation. After this is confirmed, the patient should be placed on SIMV.
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