Your patient is being mechanically ventilated when the nurse…
Your patient is being mechanically ventilated when the nurse calls you to evaluate the patient’s condition. You discover that her breath sounds are absent over the left lung field, the left-sided percussion note is hyperresonant, and peak airway pressures have increased from 40 to 65 cm H2O. What would you recommend?
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 conscious adult patient with atrial fibrillation is being…
A conscious adult patient with atrial fibrillation is being prepared for synchronous cardioversion. Which of the following should be recommended? I.Administer midazolam (Versed) before starting. II.Administer flumazenil (Romazicon) before starting. III.Charge the defibrillator to 100 J. IV.Charge the defibrillator to 360 J. V.Set the ECG machine to lead II. VI.Have a manual resuscitator on standby.
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