A 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 DetailsBONUS: A patient has had the chest tube clamped for one hour…
BONUS: A patient has had the chest tube clamped for one hour in preparation for removal. The patient is now exhibiting dyspnea, increased respiratory rate, accessory muscle use and is diaphoretic. The most appropriate action to take at this time would be to:
Read DetailsMr. Jim Bean is a 69 YO male who has undergone open heart su…
Mr. Jim Bean is a 69 YO male who has undergone open heart surgery with a history of COPD due to many years of smoking and is being hemodynamically monitored. He is currently on mechanical ventilation. Based on the following recorded parameters, what is the the patient’s C(a-v)O2?pH 7.37, PCO2 68 torr, PO2 137 torr, SaO2 97% on 60% O2Hb 19.8 g/dLPB 750 torrPvO2 43 torr (SvO2 56 torr)QT 4.3 L/min
Read DetailsDr. D inserted a central line catheter into Patient A’s subc…
Dr. D inserted a central line catheter into Patient A’s subclavian artery. An hour later, the RT notices that the patient’s clinical condition has deteriorated and crepitus is noted on the anterior chest wall. Which of the following should the therapist recommend FIRST?
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?
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