An 835-g newborn is receiving HFOV with the following settings: MAP = 10 cm H2O; FIO2 = 0.6; frequency = 10 Hz; amplitude (P) = 20 cm H2O
The ABG values are: pH = 7.35, PaCO2 = 40 mm Hg, PaO2 = 40 mm Hg. Based on these data, which of the following is the most appropriate action?
a. Increase the frequency.
b. Increase the MAP.
c. Decrease the amplitude.
d. Decrease the bias flow.
ANS: B
Increasing the MAP will improve the patient's oxygenation status. Oxygenation also can be al-tered by changing the FIO2.
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You have been called to a home for "severe respiratory distress." You arrive to find a hysterical young woman who says she had been asked to "watch her nephew for a little while when his mother went out." He has a tracheostomy, and she says he is having a hard time breathing. She has no idea how to care for him because the mother left no instructions. You assess the child and find a nearly
totally mucus-plugged trach tube. What should you do? A) Place the child on O2 via a trach mask. Do not attempt to suction, because doing so may force more mucus into the lungs. Transport immediately. B) Call for orders to suction the trach tube. C) Suction the tube and, if available, replace it with a clean, unobstructed one. Give the young woman guidance as to basic trach care. D) Call the police and tell them the child has been put in a dangerous situation. Place the child on a nonrebreather mask and transport immediately.
Inpatient hospital procedures are coded with which volume of the ICD manual?
a. I b. II c. III d. IV