1945: Client receiving mechanical ventilation via #8 endotracheal tube (ETT). The tube was assessed at 23 cm at the incisor tooth. Tube secured with a halter device. Ventilator settings were assist-control, rate 12, tidal volume 500 mL, FiO2 100%, PEEP 5. Propofol infusing at 15 mcg/kg/min via intrajugular central vascular access device. Bag valve mask at the bedside. Ventilator alarms enabled.
2000: High-pressure alarm sounded x 2.
- Mechanical ventilation via ETT
- Assist-control; rate 12; tidal volume 500 mL; FiO2 100%; PEEP 5
- Intravenous propofol 15 mcg/kg/min
- 0.45% saline 70 mL/hr
➢ Select the options to complete the sentences below
The high-pressure alarm may indicate [the cuff pressure is low. / obstruction in the tube. / disconnection has occurred.] To respond to this alarm, the nurse should [manually ventilate the client. / assess the need for suctioning. / increase the cuff pressure.]
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