Question Ms Moley a 48 years old single lady was admitted into ICU after sustaining multiple rib fractures and a ruptured spleen secondary to a motor vehicle accident 3 weeks ago. Ms Moley is intubated with a size 7.5 endo-tracheal tube that is secured 23cm at lip level. She has been assisted by the ventilator on the SIMV mode since admission. Her past medical history was clear. This morning, Ms Moley’s Glasgow Coma Scale is 3/15 and her vital signs were all normal. Her Arterial Blood Gas results are: pH = 7.33; PO2 = 95mmHg; PCO2 = 48mmHg; BE = 0.5 and HCO3 = 19.2mmHg. She has a central venous catheter on her right femoral artery and this provided access to her infusions which included (i) Propofol infusion, (ii) Dopamine Infusion(inotrope); the Adrenaline Infusion(inotrope) and the (iv) Normal Saline. She is also receiving 1G Ceftriaxone IV, 12 hourly.  Ms Moley a 48 years old single lady was admitted into ICU after sustaining multiple rib fractures and a ruptured spleen secondary to a motor vehicle accident 3 weeks ago. Ms Moley is intubated with a size 7.5 endo-tracheal tube that is secured 23cm at lip level. She has been assisted by the ventilator on the SIMV mode since admission. Her past medical history was clear. This morning, Ms Moley’s Glasgow Coma Scale is 3/15 and her vital signs were all normal. Her Arterial Blood Gas results are: pH = 7.33; PO2 = 95mmHg; PCO2 = 48mmHg; BE = 0.5 and HCO3 = 19.2mmHg. She has a central venous catheter on her right femoral artery and this provided access to her infusions which included (i) Propofol infusion, (ii) Dopamine Infusion(inotrope); the Adrenaline Infusion(inotrope) and the (iv) Normal Saline. She is also receiving 1G Ceftriaxone IV, 12 hourly. . Brief Introduction of the condition/medical diagnosis, include risk factors presented by patient; relate this to literature Health ScienceScienceNursing

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