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