The health care team plans to begin weaning a patient diagnosed with sepsis from the mechanical ventilator
The nurse would review the medical record to assess for achievement of which criteria? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The patient's hemoglobin is over 8 mg/dL.
2. Sepsis has improved.
3. The patient is hemodynamically stable on a moderate dose of vasopressor.
4. The patient is able to initiate inspiratory effort.
5. The patient is quiet and sleeps most of the time.
1,2,4
Rationale 1: The patient must have sufficient oxygen-carrying capacity for weaning to be successful.
Rationale 2: It is important to determine that the underlying cause of the respiratory failure has improved.
Rationale 3: The patient should require no vasopressor, or only a low dose, to be hemodynamically stable.
Rationale 4: The patient must be able to breathe independently when weaned from the mechanical ventilator.
Rationale 5: The patient should be awake and able to participate in the weaning process.
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