Scott Allen10 said:...Regarding breathing, a good sign would be seeing "flow by" and "pressure support" enabled in the top row, and where it says CMV and SIMV, having that green light on for the third option, CPAP... That would mean the patient is doing the work themselves, just getting some constant pressure support for every breath, with an O2 mix around 30-50%... On the monitor, you'd want to see a minute volume of 5-7 L, even if tidal volume is just 0.5L and the respiratory rate is 15-20... Plus, the patient should have decent blood pressure—maybe 90-100—a steady pulse under 110 without major arrhythmias, and SpO2 at least 90%... All while the patient isn't struggling to breathe, sweating, or looking distressed....
Basically, my advice is the same as what I told my mom... just show up every day and stay patient....Good luck!🙂
He was still on SIMV today. Flow by and pressure support were active, O2 mix was at 50%, and SpO2 was 95-96%. Minute volume was hovering around 8L but fluctuated down to 6-7L. Tidal volume was 0.70, and BP was roughly 105/80.
Pulse was steady around 101-102, no visible arrhythmias... He looks peaceful, like he's sleeping, no struggle. Honestly, he looks better than ever; I think his teeth might even look whiter.🙂
Now we're just hoping the coronary angiography goes well and that real recovery starts after that.
Thanks everyone.