TION BY KACMAREK
DIF: Application REF: p. 1110 OBJ: 7
97. A patient receiving control-mode continuous mandatory ventilation has the following ABGs
on an FiO2 of 0.4: pH = 7.51; PCO2 = 30 mm Hg; HCO3– = 25 mm Hg. Her current minute
ventilation (VE) is 7.9 L/min. What new VE would you recommend?
a. 9.0 L/min
b. 6.7 L/min
c. 7.5 L/min
d. 5.9 L/min
ANS: D
Box 48-20 gives an example of the effect of a change in A on PaCO2.
DIF: Analysis REF: p. 1114 OBJ: 9
98. A patient receiving control-mode continuous mandatory ventilation has the following ABGs
on an FiO2 of 0.5: pH = 7.23; PCO2 = 61 mm Hg; HCO3– = 26 mm Hg. The current minute
ventilation (VE) is 9.2 L/min. What new VE would you recommend?
a. 10.6 L/min
b. 14.0 L/min
c. 12.4 L/min
d. 5.8 L/min
ANS: B
Box 48-20 gives an example of the effect of a change in A on PaCO2.
DIF: Analysis REF: p. 1122 OBJ: 9
99. During initial mechanical ventilation of the chronic obstructive pulmonary disease (COPD)
patient with chronic hypercapnia, what PaCO2 is most likely used as a target value?
a. 30 mm Hg
b. 40 mm Hg
c. 55 mm Hg
d. 75 mm Hg
ANS: C
In the care of patients with acute exacerbation of COPD and accompanying chronic
ventilatory failure, the clinician may target ventilatory support to achieve the patient’s
“normal” PaCO2 and pH. For COPD patients with chronic hypercapnia, this may mean a
target PaCO2 of 50 to 60 mm Hg with a pH of 7.30 to 7.35.
DIF: Recall REF: p. 1128 OBJ: 9
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