A patient being mechanically ventilated is being considered for weaning. What interventions will the nurse take at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Prepare the patient to be placed on CPAP for 2 hours.
2. Prepare the patient to be placed on a T-piece for 2 hours.
3. Measure rapid shallow breathing index after 2 hours on a T-piece.
4. Lower the ventilator settings.
5. Set the ventilator to synchronized intermittent mandatory ventilation.
1,2,3
Rationale 1: If the patient is suitable for weaning, he or she may be placed on CPAP at 5 cm H2O at 5 cm H2O for 2 hours.
Rationale 2: If the patient is suitable for weaning, he or she may be placed on a T-piece for 2 hours.
Rationale 3: After using a T-piece for 2 hours, the patient's rapid shallow breathing index should be assessed to determine if the patient can be extubated.
Rationale 4: This is a traditional approach to weaning and is not often utilized today.
Rationale 5: Recently synchronized intermittent mandatory ventilation is being used less as a step in weaning.
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