A patient being mechanically ventilated has the following ventilator settings: SIMV 16, PEEP 20 cm of H2O, FiO2 45%, tidal volume .450 liters. What concern should the nurse have for this patient?
1. barotrauma
2. volutrauma
3. sinusitis
4. oxygen toxicity
Correct Answer: 1
This patient is at risk for barotrauma due to the high PEEP levels. The tidal volume is within a standard setting. Sinusitis is a potential complication of ventilated patients, but this patient should not have a higher risk for this. The oxygen setting at 45% will not cause oxygen toxicity in this patient.
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