PEEP therapy is indicated for patients with which of the following?
a. PaO2 of 95 mm Hg while receiving an FIO2 of 0.3
b. PaO2 of 100 mm Hg while receiving an FIO2 of 0.8
c. Returned VT of 600 mL with a Pplateau of 12 cm H2O
d. Returned VT of 800 mL with a Pplateau of 15 cm H2O
ANS: B
The PaO2/FIO2 for answer "A" is 317, which shows no ALI or ARDS. The PaO2/FIO2 for answer "B" is 125; this is an indication for PEEP therapy (PaO2/FIO2 < 200 for ARDS). The compliance for answers "C" and "D" is 50 mL/cm H2O and 53 mL/cm H2O, respectively. These compliances are normal for intubated patients.
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