Weaning parameters/Extubation

Question 1

Vitals should be

Answer 1

Within normal limits

Question 2

Sedation and vasopressors should be

Answer 2

Discontinued or very minimal

Question 3

All underlying issues should be

Answer 3

Resolved

Question 4

ABG should be

Answer 4

Normalized to pts. Baseline

Question 5

CXR should be

Answer 5

Improved

Question 6

Pressure and airways should

Answer 6

Normal and patent

Question 7

MIP (Mean Insp. Pressure) (NIF)

Answer 7

> -20

***the more negative the better)

Question 8

Secretions should be

Answer 8

Minimal

Question 9

Spontaneous ventilation should be

Answer 9

Approximately 5ml/kg

Question 10

Pts Fi02 should be less than or equal to

Answer 10

40%

Question 11

Pts PEEP should be less than or equal to

Answer 11

5cm h2O

Question 12

RSBI (return of spont. Breathing index) should be

Question 13

VC (vital capacity) should be

Answer 13

> than or equal to 10 ml/kg

Question 14

Labs should all be

Answer 14

Normalized to pt.s baseline (BUN, Cr, BNP, etc).

Question 15

Dead Space (Vd) **V/Q mismatch

Complications, and how is it treated?

Answer 15

Ventilation without perfusion
*can cause: pulm. HTN, Pulm. embolism,
Tx: underlying cause

Question 16

What is Shunting and what can it cause and how is it treated?

Answer 16

Perfusion without ventilation
Can Cause : plugging, Atelectasis, pulm. Edema.
Tx: PEEP/positive pressure