Assessment

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Assessment
Physical Exam in ER HR 110 BP 154/110 RR 24 Chest: coarse CV: RRR Pt is alert IV Fluids started Burns: 2nd and 3rd degree	Labs WBC 16 .1 mm3 Gluc 122 mg/dl Na 141 mEq/L K 4.0 mEq/L Cl 105 mEq/L Ca 9.5 mEq/L PO4 3.6 mEq/L Mg 1.9 mEq/L Bun 22 mg/dl Cr 0.9 mg/d

Mechanical Ventilation
Ventilator Settings Mode: A/C Tidal Volume: 900 mL Resp Rate: 12 Peak Flow: 90 LPM FIO2: 100% PEEP: 3 cm H20 Flow-by: 3/5 LPM	Ventilator Check Tidal volume 900 ml corrected Resp Rate 12/17 Peak pressure 35 cmH20 Plateau pressure 27 cmH20 Resistance 5.3 cmH20/L/s Compliance 38 ml/cmH20 Airway temp 34oC Humidifier full Alarms On ABG on 100% : pH 7.50, PaCO2 35 torr, PaO2 212 torr Large amounts of charcoal gray colored sputum were suctioned from the airway. Rhonchi present to auscultation

Respiratory Care treatments included:

Albuterol 0.5 cc/NS Q4

PD&V Q4

Suctioning Q2/PRN