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How should you be calculating tidal volume for vent settings

User Thalur
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Final answer:

Tidal volume for ventilator settings is the amount of air that is inspired and expired during normal breathing and should be set based on the patient's ideal body weight. It is a component of total lung capacity, which also includes residual volume, expiratory reserve volume, and inspiratory reserve volume. These factors, along with the work of breathing and respiratory rate, are considered when calculating appropriate ventilator settings.

Step-by-step explanation:

Calculating tidal volume (TV) for ventilator settings is crucial as it represents the amount of air delivered to the lungs with each breath during mechanical ventilation. TV is a component of total lung capacity (TLC), which also includes residual volume (RV), expiratory reserve volume (ERV), and inspiratory reserve volume (IRV). To calculate vital capacity (VC), you would sum up the TV, ERV, and IRV. TV is generally set based on ideal body weight (IBW) of the patient, with typical values ranging from 6-8 ml/kg IBW.

The TLC equals the sum of the RV, ERV, TV, and IRV. When adjusting a ventilator, understanding and maintaining the appropriate tidal volume is essential for patient health, as both overinflation and underinflation can lead to complications. Respiratory therapists will also consider the work of breathing, the number of breaths per minute (respiratory rate), and alveolar ventilation when calculating appropriate ventilator settings.

User Jiulong Zhao
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