List two advanced ICU skills APRTs are expected to master beyond traditional RT scope. 

Identify the condition shown when expiratory flow fails to reach baseline before the next breath.

A 62-year-old male with septic shock and ARDS is on AC/VC ventilation (VT 6 mL/kg PBW, PEEP 14, FiO₂ 0.80). He develops oliguria and rising creatinine. Lactate remains elevated despite fluids.Integrated Concepts:Ventilator management for ARDSSepsis bundle prioritiesAEIOU indications for dialysisCRRT vs IHD decision-makingDiscussion Points:What ventilator adjustments are needed?When do you initiate CRRT?How does fluid overload affect oxygenation?Role of APRT?

Apnea test positive if PaCO₂ ≥ [BLANK-1] or ↑ [BLANK-2] from baseline. 

Why should hyperventilation generally be avoided in severe TBI? 

Calculate oxygen duration: E-cylinder at 2000 psi, residual 200, flow 5 L/min. (show your work mathematically to receive full points)

Which waveform clue indicates overdistention?

The prayer of David confessing his sin is recorded in this chapter

“The Fall” is when Adam and Eve disobeyed God by eating the forbidden fruit. This is recorded in: 

Name two elements of the VAP prevention bundle.