An awake and alert patient is currently on settings via nasal mask with the following information: IPAP – 12 cm H2O pH – 7.35 EPAP – 6 cm H2O PaCO2 – 55 mmHg FIO2 – 0.65 PaO2 – 45 mmHg RR – 32 breaths/min HCO3 – 29 mEq/L SpO2 – 85% BE – +3 mEq/L What should the respiratory therapist recommend at this time?
Read DetailsAn adult patient is being tracheally suctioned with a 14 french catheter but no secretions are suctioned. Suction pressure is set at -105mmHg. What should be done at this time? Group of answer choices Lavage with normal saline Increase the suction pressure to -120 mmHg Use a larger suction catheter Use more lubricating gel
Read DetailsA female patient on ventilatory support has the following information: Mode – AC PIP – 25 cm H2O pH – 7.36 Rate – 14 breaths/min Total Rate – 12 breaths/min PaCO2 – 50 torr VT – 550 ml VE – 7.2 L/min PaO2 – 85 torr PEEP – 5 cm H2O PETCO2 – 40 torr HCO3 – 25 mEq/L FIO2 – 0.45 BE/BD – 0 What is this patient’s VD/VT?
Read DetailsAn awake and alert female patient who is 5’6″ tall was just placed on the following weaning mode. Parameters are below: CPAP – 5 cm H2O Total rate – 16 breaths PSV – 10 cm H2O Tidal volume – 450 ml FIO2 – 45% RSBI – 40 MIP – (-35) What should be done next?
Read DetailsA physician would like to place her patient on SIMV after SBT. The following below is the patient’s current ventilator settings. What rate would you suggest beginning SIMV for weaning? Mode – ACRate – 14 breaths/minVT – 450 mlPEEP – 5 cm H2OFIO2 – 0.30
Read DetailsA patient on the following mode is showing some distress and his physician would like to start pressure support. What setting would be appropriate to start with based on the current information? Mode – SIMV Total rate – 30 Rate – 8 PIP – 30 cm H2O Tidal volume – 450 ml Plateau – 20 cm H2O PEEP – 5 cm H2O FIO2 – 0.35
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