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SBT FLASHCARDS

RCP160

TermDefinition
purpose of SBT this protocol will be used to facilitate timely liberation from mechanical ventilation using the spontaneous breathing trial (SBT) and the prolonged spontaneous breathing trial (SPBT)
What does an RT look for in SBT ? Observe the patient under conditions of respiratory load that would stimulate those following extubation.
Indications of patients suitable for SBT. Lung disease is stable/resolved. Low FiO2 (<0.5) & PEEP (<5-8 cm H2O). Haemodynamic stability. Spontaneous breaths.
What is the first method/step of SBT ? Be conducted while the patient is still connected to the vent circuit, or the patient can be removed from the circuit to O2.
What is the second method/step of SBT ? When using the vent a PS of 5-7 cmH2O and 1-5 cm H2O PEEP, the PT will overcome increased WOB. ETT.
What is the third Method/step of SBT ? Pt should be on minimal vent settings in order to continue with SBT.
What is the forth method/step of SBT ? Initial trial should last 30-120 minutes
What is the fifth method/step of SBT ? If pt is not cleared by 120 min SBT should be considered a fail.
What is the last method/step to SBT ? The shorter the intubation time the shorter the SBT required.
What RR ranges are indicated to stop SBT ? RR > 38 bpm for 5 min or < 6 bpm
What SPO2 range is indicated to stop SBT ? to stop SBT ? SpO2 < 92%
What tidal volume range is indicated to stop SBT ? Vt < 325 mL
What HR range is indicated to stop SBT ? HR > 140 or HR < 60
What BP range is indicated to stop SBT ? 40 mm Hg above baseline
Created by: tumi6472
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