A 5′ 5″ female patient was admitted for asthma exacerbation. When the practitioner arrived to assess her and was found to be obtunded with slow shallow respirations. The following arterial blood gas was obtained on room air:   pH – 7.22 PaCO2 – 68 torr PaO2 – 60 torr HCO3 – 25 mEq/L BE – +1   The physician decided to intubate. What initial vent settings should the patient be placed on?

Detrimental effects of auto-positive end expiratory pressure (PEEP) include which of the following?1. Increased work of breathing2. Increased pulmonary barotrauma3. Increased pulmonary vascular resistance4. Decreased venous return

Couples who have high levels of intimacy, closeness, and commitment prior to the birth of the first child

During your patient-ventilator assessment you observe auto-triggering. Which of the following is a likely cause? I. Leaks in the circuitII. Ventilator malfunctionIII. Water in the circuitIV. Inappropriately set sensitivity

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What mode of ventilation is used where the practitioner sets the ideal body weight and the ventilator pre-determines the minute ventilation and adjust the level of support based on the patient’s ventilatory effort?  

Ariana, who is in a relationship with Luis, is frustrated because Luis never shows any emotion. He has feelings, but no words to express how he feels. Luis is experiencing:

A chronic obstructive pulmonary disease (COPD) patient receiving ventilatory support in the CMV assist-control mode at a rate of 16 and a VT of 550 ml exhibits clinical signs of air trapping. Which of the following would you recommend to correct this problem?1. Increase “E” time.2. Increase the inspiratory flow rate.3. Increase the assist-control rate.

What is the risk of setting CPAP too high?  

An unstable post code patient comes to the ER. You wish to put on  the ventilator. Which settings would you use?Patient data: 77 y/o female, 60 kg (IBW), possible COPD