1. Comment on the mode of breathing patient is on.
   Room air?
   Face mask/Nasal canula?
   Mechanical ventilator?
2. Ventilator settings:
   Mode, FiO2, rate, tidal volume etc.
   PEEP-2-10 cm H2O?
3. Oxygen saturation
   
4. Peak airway pressure
   Overbreathing ventilator (pt rate>>> machine)
   Fighting ventilator?
5. ABG:
        Pa02 >60 mm H20
        Pa C02- 40 mm H20
        PH- 7.35-7.45
6. Fluid status: Pulmonary edema can develop
   Net positive?- fluid overload.
   Net negative?
   Diuresing? - Can relieve pulmonary edema.
7. Physical Exam: Listen to patients lungs daily.
   Fighting ventilator? Comatose?
   Secretions?
   Lungs: clear. Rales? Ronchi? Wheezing?
8. Imaging: Chest xray: ET tube in right place, 3-5 cm above carina.
   ARDS, pneumothorax, pleural effusion, pneumonia.

Problems:

• Pulmonary hygiene
• Intubation and mechanical ventilation needed
• ARDS
• Pneumothorax
• Ventilator Problems