A 25-yer-old female patient weighing 60 kg (132 lb) was mechanically ventilated after an accidental overdose of sleeping pills. She is now awake and alert and has been breathing on a T-piece for the past hour. Her vital signs and spirometry results follow: Heart rate 79 Blood pressure 122/80 mm Hg Respiratory rate 14 Vt 450 ml VC 2100 ml While the patient is breathing 30% O2, her ABG analysis show the following: pH 7.41 PaCO2 38 torr PaO2 115 torr HCO3- 24 mEq/L BE 0 mEq/L What should be recommended?

An adult patient is suspected of having a pneumothorax. If true, aucultation will reveal which of the following breath sounds?

A patient with an endotracheal tube is ordered to have 35% O2 delivered. Equipment includes an air-entrainment (jet0 large-volume nebulizer, aerosol tubing, and a T-piece. What can the respiratory therapist do to ensure that the O2 percentage is delivered and humidified is maximized?

A patient with uncontrolled seizures will be given a paralytic medication and placed onto a mechanical ventilator. Which of the following medications should be selected?

A patient with thick secretions and pneumonia has just been intubated. What should the respiratory therapist recommend for humidification purposes?

A 65-kilogram (143 lb) patient is being mechanically ventilated in the recovery room after abdominal surgery until the effects of anesthesia wear off. Ventilator settings and ABG data are as follows: Mode VC, A/C FiO2 35% Mandatory rate 14 Total rate 14 Vt 450 ml peak flow 40 L/min PEEP 0 Pressure support 0   pH 7.52 PaCO2 28 torr PaO2 120 torr HCO3 24 mEq/L BE 0 mEq/L What should be recommended?

The Trendelenburg position would be  contraindicated for postural drainage therapy in a patient with

Initially, an adult patient has a Pao2 of 52 torr on room air. After the application of 30% O2 by mask, the patient PaO2 is 85 Torr. How should this be interpreted?

During the initial administration of formoterol (Performomist) by small volume nebulizer, a patient heart rate is found to increase from 80 to 120 beats/min. What should the respiratory therapist recommend?

A 60-year-old, 55 kg (121 lb) female patient with known COPD is receiving mechanical ventilation. Current settings and ABG results follow: Mode VC, A/C FiO2 30% Mandatory rate 8 patient rate 4 Vt 450 ml Peak flow 50 L/min Pressure support 5 cm H20   pH 7.25 PaCO2 70 torr PaO2 63 torr HCO3- 30 mEq/L BE +6 mEq/L What should be recommended?