A 26-year-old male with a PBW of 60 kg is admitted to the hospital for treatment of a heroin overdose. A chest radiograph reveals bibasilar infiltrates. The patient is intubated and receiving VC, A/C ventilation with the following settings: FIO2 1.0   pH 7.37 Mandatory rate 16/min   PaCO2 43 mm Hg VT 400 mL   PaO2 44 mm Hg PEEP 14 cm H2O   HCO3- 25 mEq/L PIP 39 cm H2O   BE -1 mEq/L Pplat 33 cm H2O   SO2 (meas) 79% A respiratory therapist should recommend which of the following FIRST?

A 173 cm (5 ft 8 in), 70 kg (157 lbs) male is receiving VC-Ventilation in the ICU with the following an setting and ABG.   Mode A/C pH 7.39 FiO2 0.60 PaCO2 48 torr Rate 22 BPM PaO2 68 torr Vt 550 mL HCO3 25  mEq/L PEEP 15 cmH2O  BE  1   mEq/L Day Mon Tues Wed Thurs Peak Pressure PIP (cmH2O) 28 30 32 35 Plateau Pressure (cmH2O) 18 19 18 19 The respiratory therapist should recommend?

  What type of flow waveform does C represent?

A 34-year-old female who is a victim of a residential fire is brought to the ED and is receiving oxygen by nasal cannula at 4 L/min. SpO2 is 100%. The following data are observed: pH 7.31   SO2(meas) 99% PCO2 32 mm Hg   O2Hb 78% PO2 205 mm Hg   COHb 21% HCO3 – 16 mEq/L   Hb 14.5 g/dL BE -9 mEq/L       A respiratory therapist should recommend

Identify the label parts of the waveform belowThe letter C represent on the above Diagram? 

Mutlple-Multiple Response.  Please choses as many as needed.What can be set when on PC/AC mode?

If a patient PIP has gone down by 5 cmH2O while the static pressure did not change and stay the same,  which is most likely contributing to this problem?

From the data below, What is the contributing to the rise in PIP? Mode VC-A/C pH 7.39   FiO2 0.6 PaCO2 48   Rate 22 PaO2 68   Vt 550 HCO3 25   PEEP 15 BE 1             Day Mon Tues Wed Thurs PIP 28 30 35 43 PL 25 26 25 26

A 60-kg (132lbs) patient with a stroke and increased intracranial pressure is being mechanically ventilated in the A/C mode with the following settings: Minute ventilation   6 L I:E ratio 1:2 FiO2 0.35 Rate 20 Mechanical deal space 25 mL     pH 7.30 PaCO2 51 torr PaO2 107 torr HCO3 24 mEq/L On the basis of this information, it would be most appropriate to recommend:

A 28-year-old patient is being evaluated by a respiratory therapist after a trauma. The patient is receiving VC ventilation with the following settings: FIO2 0.65 Mandatory rate 14 VT 450 mL PEEP 8 cm H2O The therapist notes the following pressure-volume tracing:   The therapist should recommend decreasing the