Respiratory Therapy Formulas and normal values:

1. Ideal Body Weight (IBW):

a. Female: 100 lb or 1
st
!t " !lbs ea additional in#h
b. $ale: 10% lb or 1
st
! t " %lbs ea additional in#h
&. 'tati# (omplian#e: ()T*'tati# pressure + ,--,)
a. .ormal / %00100
b. 1%0 / lungs be#oming less #ompliant
#. 2&! is a##eptable
d. 1&! is una##eptable
3. 4esired Fi5& / 4esired ,a5& " 6no7n Fi5&
6no7n ,a5&
8. 4esired )e/ 6no7n )e96no7n ,a(5&
4esired ,a(5&
!. R:W: ,I,+,lateau* Flo7; or ,I,+plateau
%. Fren#h si<e s= #atheter / -TT si<e 9 3*&
>. ,:5&: (?13 9Fio& + ,a(5&)*0.>or 0.1 i 100@ 5&
A. :0a gradient: ,:5& + ,a5&
a. .ormal on R: / 10080 or on 100@ / &! + ?0
b. In#reased %%0300 / a#ute lung inBury
#. 2300 / severe shunting; :R4' (una##eptable)
10. 'hunt @ / :0a gradient*&0C normal/&0@
00 i 2&0 an in#rease in ,--, is indi#ated
11. a0: ratio: ,a5&0,:5&
a. .ormal / >0@ (?8@ elderly)
b. %0@ / )*D imbalan#e
#. 1!@ / shunting
1&. ,*F Ratio: ,a5&*Fi5&
a. .ormal / 300 + !00
b. :#ute lung inBury / &00 + 300
#. 1&00 / :R4'
13. -=pe#ted ,a5& / Fi5& =!
a. Esed to determine i pt o=ygenating better
b. :#tual ,a5&* -=pe#ted ,a5& / @ o patient
e=pe#ted ,a5&
18. ,' should be set to/ R:W or 2 i therapy indi#ated.
1!. e0#ylinder time remaining/0.30(,'I) * F,$
1%. 5ral intubation / &10&!#m G lip.
1?. .asal intubation / &%0&A#m
1?. ,--, therapy / 2%0> (W,
1>. Humidity should be set at 3? degrees (el#ius.
&0. 'u#tion::dult/10001&0;(hild/>00100;Inant/%00>0
&1. ,t.W5B/10.>/normal; measures ee#tiveness o
rise time and sensitivity. $easured in spont. mode.
Iuidelines to adBusting )entilator settings:
1. ,a(o& 2 8! 8. 'p5& 2A!@
a. in#rease RR a. redu#e Fio& +%0@
b. in#rease )T b. redu#e ,--, to !
&. ,a(o& 13! #. redu#e Fi5&
a. de#rease rate
b. de#rease )T
3. ,(5& 1A0@ or 'a5&1%0
a. in#rease Fi5& to %0@
b. in#rease ,--,
#. in#rease Fi5& to 100@

-6I and rhythm strip interpretations:
1. ,ulmonary -mbolism:
a. ' 7ave in lead I
b. 'T depression in lead II
#. Farge D 7ave in lead III
d. T 7ave inversion in lead III
&. Basi#s:
a. 'T depression / a#ute blood loss
b. D Wave maJes diagnosis o inar#t
#. D 7ave one small sKuare is $I
d. Inverted T07ave is is#hemia
3. ,osterior 7all Inar#t:
a. 'T depression in )1 L )& i a#ute
b. Farge R in )1 and )&
#. $aybe D in )%
d. Inverted mirror test )1 L )&
8. Fateral 7all Inar#t:
a. D in leads I and :)F ()!; )%)
!. Inerior 7all Inar#t:
a. D in leads II; III; L :)F
b. 'T elevated i a#ute
%. :nterior 7all Inar#t:
a. 'T elevation )1 L )&
b. D in )1; )&; )3 or )8
#. )1 L )& / :nterioseptal
d. )3 L )8 / :nteriolateral
?. ')T: .arro7 DR' L rate o 1!00&!0
>. FBBB: & R 7aves in )! L )%
A. RBBB: a. & R 7aves in )1 L )&
b. DR' 7ide and looJs liJe an $
10. :#idosis: 'maller amplitude
11. (5,4: 'mall amplitude; Right a=is deviation
1&. &nd degree blo#J type I: a. ,R interval
be#omes progressively longer until 1 DR'
sJipped. b. blo#Jed DR' ater every &0! DR's
#. DR' may be normal or 7ide i BBB
13. &
nd
degree type II : a. p 7aves or ea. DR' at
ratio o &:1; 3:1 or 8:1. b. 5ten 7ide 7*RBBB
:#ute Fung InBury or :R4' )entilator 'trategy:
Fung ,rote#tive )entilation
1. Ideal )T / % ml*Jg IBW
&. 5=ygenation target: a. ,a5& !!0>0 b. 'p5& >>0A!@
3. pH Ioal: ?.8!0?.30
a. 2?.8!: 4e#rease Rate
b. 1?.30: In#rease Rate (ma=imum rate / 3!)
#. I rate 23!; or (5& 1&!; #onsider H(53
d. 1 ?.1!M; in#rease )T 1ml*Jg
(may e=#eed 'tati# ,ressure)
8. ,lateau pressure: 4r. to sele#t target pressure
a. I 230M L due to )T; de#rease )T by !0## D1
until p0plat 1 30; but do not let )T get 18##*Jg
b. I 1&!M L )T 1 ideal )T; in#rease )T by
!0## D1 until ideal )T is rea#hed; so long as
p0plat remains 1 30.
!. ,ts usually ta#hypnei#; may be un#omortable; L may ight
the ventilator. In#reased sedation may be indi#ated.
Fevel o (ons#iousness:
1. Fethargi#* somnolen#e: sleepy
&. 'tuporious*#onused: responds inappropriately; 54;
into=i#ation
3. 'emi0#omatose: responds only to painul stimuli
8. (omatose: does not respond to painul stimuli
!. 5btunded: dro7sy; maybe de#reased #ough*gag rele=
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