Key points to consider in planning fiberoptic bronchoscopy i…
Key points to consider in planning fiberoptic bronchoscopy include which of the following?I. ensuring equipment is working properlyII. availability of medicationsIII. pain management and sedation during procedure is only medication preparation requiredIV. monitoring of VS performed on a PRN basis
Read DetailsAn infant has been in the NICU for several weeks and has dev…
An infant has been in the NICU for several weeks and has developed PIE (pulmonary interstitial emphysema), which of the following would be lung protective strategies to maintain any further damage to the neonate lung and maintain adequate acid base balance?I. tidal volumes of 5-6 mL/kgII. PEEP >5 cmH2OIII. inspiratory time between 0.25 and 0.4 secondsIV. continuous flow no more than 8 L/minV. keep PIP
Read DetailsA patient who was intubated with a history of COPD who exace…
A patient who was intubated with a history of COPD who exacerbated due to RML and RLL pneumonia has been in the MICU for the past two days with little improvement of the underlying condition. At 0700 you document the following parameters, PIP 26, Pplat 14 and then two hours later you note the following, PIP 27, Pplat 23. What is the underlying problem that has resulted in these changes?
Read DetailsWhich of the following are appropriate orders before an elec…
Which of the following are appropriate orders before an elective fiberoptic bronchoscopy procedure scheduled for the next morning?I. patient should be NPO after midnightII. administration of IM medicationIII. anesthesize the airway with an aerosolized anesthetic
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