Q:

A 58-year-old female is receiving volume control A/C ventilation at a rate of 12/min with a tidal volume of 450 mL and an FiO2 of 40%. Her ABG results are as follows:

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A 58-year-old female is receiving volume control A/C ventilation at a rate of 12/min with a tidal volume of 450 mL and an FiO2 of 40%. Her ABG results are as follows:

pH 7.35

PaCO2 44 torr

HCO3 22 mEq/L

BE 0

PaO2 91 torr

SaO2 97%

Based on this information, you should recommend which of the following? 


  1. Decrease the minute ventilation
  2. Discontinue mechanical ventilation
  3. Administer IV bicarbonate
  4. Maintain the current settings

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The first thing you need to do is interpret the ABG results. By doing so, you will see that all of the values fall within the normal range. And by looking at the ventilator settings that it gives you in the question, everything appears to be set appropriately.

Therefore, no changes are indicated at this time. The settings should be left unchanged. So we know that the correct answer is D.

The correct answer is: D. Maintain the current settings

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