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Desired FiO2 and VE Calculation Practice

Total questions: 10

Worksheet time: 20mins

Name
Class
Date
1.

A 60-year-old patient with acute respiratory distress syndrome (ARDS) has the following ABG values: pH 7.28, PaCO2 60 mmHg, PaO2 48 mmHg, HCO3 30 mEq/L. The current ventilator settings are: mandatory rate 22 breaths/min, inspiratory pressure 24 cm H2O, FiO2 0.70, PEEP 10 cm H2O. What is the desired FiO2 to achieve a PaO2 of 80 mmHg?

a)
0.60
b)
0.80
c)
0.90
d)

Desired PaO2 is unattainable by increasing FiO2 alone

2.

A 45-year-old patient with COPD exacerbation has the following ABG values: pH 7.37, PaCO2 55 mmHg, PaO2 72 mmHg, HCO3 29 mEq/L. The current ventilator settings are: mandatory rate 16 breaths/min, inspiratory pressure 18 cm H2O, FiO2 0.40, PEEP 4 cm H2O. What is the desired FiO2 to achieve a PaO2 of 90 mmHg?

a)
0.50
b)
0.45
c)
0.55
d)

The Desired PaO2 is unobtainable by increasing FiO2 alone

3.

A 70-year-old patient with severe pneumonia has the following ABG values: pH 7.42, PaCO2 40 mmHg, PaO2 58 mmHg, HCO3 24 mEq/L. The current ventilator settings are: mandatory rate 14 breaths/min, inspiratory pressure 20 cm H2O, FiO2 0.45, PEEP 6 cm H2O. What is the desired FiO2 to achieve a PaO2 of 75 mmHg?

a)
0.50
b)
0.55
c)
0.60
d)
0.65
4.

A 50-year-old patient with severe asthma exacerbation has the following ABG values: pH 7.25, PaCO2 70 mmHg, PaO2 60 mmHg, HCO3 30 mEq/L. The current ventilator settings are: mandatory rate 24 breaths/min, inspiratory pressure 28 cm H2O, FiO2 0.80, PEEP 5 cm H2O. What is the desired FiO2 to achieve a PaO2 of 80 mmHg?

a)
0.60
b)
0.70
c)
0.80
d)

1.0

5.

A 65-year-old patient with chronic obstructive pulmonary disease (COPD) has the following ABG values: pH 7.32, PaCO2 68 mmHg, PaO2 58 mmHg, HCO3 30 mEq/L. The current ventilator settings are: mandatory rate 18 breaths/min, inspiratory pressure 20 cm H2O, FiO2 0.40, PEEP 4 cm H2O. What is the desired FiO2 to achieve a PaO2 of 75 mmHg?

a)
Increase FiO2 to 0.50
b)
Decrease FiO2 to 0.30
c)
Maintain FiO2 at 0.40
d)
Increase FiO2 to 0.60
6.

A 30-year-old patient with pneumonia has the following ABG values: pH 7.38, PaCO2 42 mmHg, PaO2 70 mmHg, HCO3 26 mEq/L. The current ventilator settings are: mandatory rate 14 breaths/min, inspiratory pressure 18 cm H2O, FiO2 0.55, PEEP 5 cm H2O. What is the desired FiO2 to achieve a PaO2 of 80 mmHg?

a)
Increase FiO2 to 0.60
b)
Decrease FiO2 to 0.50
c)

Increase FiO2 to 0.70

d)
Decrease FiO2 to 0.45
7.

A patient is receiving mechanical ventilation with a minute ventilation of 8.0 L/min. Their PaCO₂ is 60 mmHg, and the physician wants the PaCO₂ reduced to 40 mmHg.

What should the new minute ventilation be?

a)

6.0 L/min

b)

8.0 L/min

c)

10.0 L/min

d)

12.0 L/min

8.

A patient has a current minute ventilation of 7.5 L/min and a PaCO₂ of 55 mmHg. You want to reduce the PaCO₂ to 35 mmHg.

What should the new VE be?

a)

10.5 L/min

b)

11.8 L/min

c)

7.5 L/min

d)

5.0 L/min

9.

A 22-year-old male with a traumatic brain injury is on the ventilator to control ICP. Current settings:

VT: 500 mL

Rate: 18

FiO₂: 0.40

PEEP: 5

ABG:

pH: 7.42

PaCO₂: 44 mmHg

PaO₂: 104 mmHg

Neurosurgery requests the PaCO₂ be lowered to 32 mmHg.

What should the new VE be?

a)

9.5 L/min

b)

10.0 L/min

c)

11.0 L/min

d)

12.0 L/min

10.

A 48-year-old intubated patient in septic shock has:

VT: 470 mL

Rate: 15

FiO₂: 0.40

ABG:

pH: 7.31

PaCO₂: 52 mmHg

PaO₂: 100 mmHg

Target PaCO₂ = 40 mmHg.

What should the new VE be?

a)

8.0 L/min

b)

9.1 L/min

c)

10.5 L/mi

d)

11.4 L/min