MedBugs: SAQ #374

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Case: Ventilated severe asthma with deterioration

A young woman with an estimated weight of 50 kg has just been intubated for severe asthma and is currently being ventilated on 100% FiO2. Her ABG is shown. pH 6.94 pO2 459 pcO2 134 HCO3 27 BE -7 Lactate 8.94

1. Describe (4) abnormalities. 4 marks

2. Fill in the table, demonstrating your initial choice of ventilator settings, including a brief rationale. 10 marks

Following intubation, the patient becomes bradycardic and hypotensive.

3. Outline, IN SEQUENCE, your initial (6) steps in response to this scenario. 6 marks

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Case: Ventilated severe asthma with deterioration

1. Describe (4) abnormalities. 4 marks

2. Fill in the table, demonstrating your initial choice of ventilator settings, including a brief rationale. 10 marks

3. Outline, IN SEQUENCE, your initial (6) steps in response to this scenario. 6 marks

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