An RT is assisgned to a MICU, during rounds the RT notes an…
An RT is assisgned to a MICU, during rounds the RT notes an area of hyperresonance and decreased tactile fremitis on the right side of a trauma victim who is receiving mechanical ventilation. What is the likely underlying condition for the clinical finding?
Read DetailsThe flow sheet below, for a patient on pressure-controlled c…
The flow sheet below, for a patient on pressure-controlled continuous mandatory ventilation (PC-CMV), demonstrates which of the following? Time PIP(cm H2O) PEEP(cm H2O) Exhaled VT (mL) 0800 28 8 435 1000 28 8 493 1200 28 8 500
Read DetailsThe physician has requested that the respiratory therapist d…
The physician has requested that the respiratory therapist determine a patient’s rapid shallow breathing index (RSBI) before placing the patient on PSV. The patient has a respiratory rate of 32/min and VT of 300 mL. What is the patient’s RSBI?
Read DetailsA patient receiving continuous mandatory ventilation in the…
A patient receiving continuous mandatory ventilation in the assist-control mode develops auto-PEEP. Which of the following changes in ventilatory patterns would you consider to minimize the effects of auto-PEEP in this patient?I. decreasing the rateII. using low-rate synchronized intermittent mandatory ventilationIII. decreasing the peak inspiratory flowIV. lowering the VT and letting the PaCO2 rise
Read DetailsA 45 year old, 73”, 200 lb male patient is admitted to the E…
A 45 year old, 73”, 200 lb male patient is admitted to the ED with an exacerbation of myasthenia gravis. The RT assesses the patient and finds the patient’s MIPis 15 cmH2O and his VC is 1200 mL. It is decided that the patient requires ventilatory support and the physcian asks for your recommendation. Which of the following would be most appropriate initial ventialtor settings?
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