A patient being mechanically ventilated has the following ventilator settings: SIMV 16, PEEP 20 cm of H2O, FiO2 45%, tidal volume .450 liters. What concerns will the nurse have for this patient?
1. Barotrauma
2. Volutrauma
3. Sinusitis
4. Oxygen toxicity
1
Rationale 1: This patient will be at risk for barotraumas due to the high PEEP levels.
Rationale 2: The tidal volume is within a standard setting. However, if it were high, it could lead to volutrauma.
Rationale 3: Sinusitis is a potential complication in ventilated patients, but this patient should not have any higher risk for this.
Rationale 4: The FiO2 is set at 45%, which is not high. A FiO2 greater than 50% for an extended period can lead to oxygen toxicity.
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