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A 65-Year-Old,73-Inch-Tall,195 Lb Male Patient Was Admitted 2 Days Ago

Question 14

Multiple Choice

A 65-year-old,73-inch-tall,195 lb male patient was admitted 2 days ago for renal failure.The patient has a history of chronic obstructive pulmonary disease (COPD) and has a pulse of 122 breaths/min,BP 153/88,and temperature 37° C.The patient is intubated for acute-on-chronic respiratory failure with hypoxemia.The physician requests volume-controlled continuous mandatory ventilation (VC-CMV) .The initial settings for the ventilator should be which of the following?


A) Vᴛ = 700 mL, rate = 12 breaths/min, PEEP = 3 cm H₂O
B) Vᴛ = 900 mL, rate = 10 breaths/min, PEEP = 5 cm H₂O
C) Vᴛ = 450 mL, rate = 20 breaths/min, PEEP = 8 cm H₂O
D) Vᴛ = 800 mL, rate = 15 breaths/min, PEEP = 10 cm H₂O

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