A 34 y/o male patient in the ICU is receiving NIPPV (BiPAP) by full face mask. The following BiPAP settings and ABG results are below.                FiO2    50%                IPAP    14 cmH2O                EPAP   5   cmH2O                Spontaneous Respiratory Rate 12 ABG: PH 7.29 PaCO2 51 PaO2 83 HCO3 23 BE -1 Which of the following changes would you recommend to the physician?

A patient on a volume ventilator has refractory hypoxemia. Which of the following could help improve this patient’s oxygenation status?

 Five minutes after extubating a patient, the respiratory therapist observes marked Inspiratory stridor, intercostal retractions, labored breathing and a decreasing  SpO2 value. Aerosolized racemic epinephrine has been administered with no effect. Which the following should the therapist recommend at this time?

A patient on a volume ventilator is on the following settings: The patient’s ideal body weight is 100 kg. The patient’s vitals are stable, patient is alert and responding to commands, and the initial acute problem has improved. His current ventilator settings and ABG are listed below. Based on the data provided what is the most appropriate recommendation?​SIMV (Volume)​ABG ​Vt = 700 ml​PH 7.47​Rate = 10​PaCO2 35 mmHg​Total Rate = 14​PaO2 85 mmHg​PS = 5​HCO3 23 meq/L​​BE + 2

Interpret the following ABG:PH 7.22PaCO2 50PaO2 81HCO3 17

The high pressure alarm is set ___________ above the patient’s PIP level. 

Under conditions of changing compliance or airway resistance, the tidal volume delivered by a pressure-cycled ventilator is _____________; and the tidal volume delivered by a volume-cycled ventilator is ___________.

Routine monitoring of the mechanically ventilated patient includes the artificial airways.  About once every 8 to 12 hours, the endotracheal or tracheostomy cuff pressure should be checked to guarantee that cuff pressures do not exceed ____.

What does the following pressure volume loop represent? PV Loop Leak.png 

During mechanical ventilation of a CHF patient, the PaCO2 = 28 mm Hg and the f = 16/min. If the desired PaCO2 is 40, then the f must be changed to ____.