Pulmonary Problem Solving I


Scenario Seven


Patient Chart
FG is a 71-year-old female who was admitted to the acute care hospital two days following a massive CVA with possible brain stem infarct. Because she was also experiencing secondary respiratory failure, she was intubated and placed on mechanical ventilation. She was subsequently transferred to the neuro intensive care unit where she was stabilized.

Currently, she is on the ventilator at the following settings:
Mode: volume control-assist/control
Rate: 14 breaths per minute
Tidal volume: 450 mL
FiO2: 50%
PEEP: +5 cmH2O

Her present vital signs are: respiratory rate 14 (ventilator rate), temperature 100.4 F. Her SpO2 is 95%. Her rating on the Glasgow Coma Scale is 5.

Use the Blood Pressure and Auscultation Tabs to complete the physical assessment.



Heart Rate:
Blood Pressure: /

Auscultation:




Diagnosis
Which of the following would be the best diagnostic test to perform in order to confirm the condition?