A patient is assessed with SOB is currently on CPAP 7 cm H2O and 60% FIO2. The following information is available.   HR – 130 bpm pH – 7.16 Urine output – 20 ml/hr RR – 37 breaths/min PaCO2 – 25 torr BUN 40 BP – 145/90 mmHg PaO2 – 200 torr Creatinine 4.5 SpO2 – 92% HCO3 13 mEq/L Blood glucose of 105 g/dl Temp – 37c BD – (-5) Hb 14 g/dl   What is causing this patient’s respiratory distress?

The 5’5″ patient is intubated on CMV has the following ventilator settings with ventilator waveform:   Mode – Assist Control Rate – 12 breaths/min Tidal volume – 650 ml PEEP – 7 cm H2O FIO2 – 0.60 What should the respiratory therapist recommend at this time?  

Which of the following level of consciousness (LOC) would be assessed that could indicate elevated PaCO2?   I. Somnolence II. Lethargy III. Obtunded IV. Alert

A patient in severe ARDS is currently on the following ventilator settings: Mode – AC/VC Total Rate – 25 breaths/min Rate –  25 breaths/min Exhaled VT – 290 ml VT – 300 ml VE – 7.25 L/min PEEP – 10 cm H2O PIP – 40 cm H2O FIO2 – 1.0 Plateau – 35 cm H2O The patient’s physician wants to place the patient on APRV. What P-High should be started on the new mode?

Which of the following is a neuromuscular disorder that can lead to respiratory failure.   I. Diabetic keto-acidosis II. Myasthenia gravis III. Guillain barre syndrome IV. Cerebral vascular accident

An ABG was obtained with the following results:   pH – 7.23 PaCO2 – 60 mmHg PaO2 – 65 mmhg HCO3 – 25 mEq/L   This ABG represents:

The term used to specify the flow, pressure, and volume waveforms that are graphed relative to time is called

A patient on APRV has the following ventilator settings and ABG result: PHIGH – 30 cm H2O pH – 7.30 PLOW – 0 cm H2O PaCO2 – 65 torr THIGH – 5 sec PaO2 – 40 torr TLOW – 0.8 sec HCO3 – 26 mEq/L FIO2 – 1.0 BE/BD – (+2) What should the respiratory care practitioner recommend at this time?

B. Escuchar un párrafo: Un viaje a Colombia. You are planning a trip and listening to advice from a travel podcast. First, read the statements below. Second, listen to the question. Then, based on what you hear, select whether each statement is Cierto (true) or Falso (false) from the dropdown menu. If the information is not mentioned, select No se menciona (not mentioned). (1 pt. each; 8 pts. total) MODELO:  (You hear): “La asistente de la directora conoce a todos los estudiantes”.  (You select): a. Cierto / b. Falso / c. No se menciona  1. Laura tiene una mala experiencia en Colombia. [1]  2. Laura aconseja visitar la costa atlántica. [2]  3. Es recomendable visitar los pueblos a pie pero no en bicicleta. [3] 4. Las islas cerca de la costa se pueden visitar en barco. [4] 5. La comida tradicional solamente se encuentra en los pueblos con encanto. [5]  6. Viajar a Colombia con poco equipaje es mejor. [6]  7. No es necesario llevar un plano de la ciudad. [7]  8. Laura trabaja en una agencia de [8]

C. Las atracciones turísticas y naturales: ¿Qué deben visitar? Your friends are planning trips and want advice about what to visit. First, read over each person’s preferences. Then, type a logical attraction based on what they enjoy in the space provided. Make sure to include an indefinite article (i.e., un/una/unos/unas). Do not repeat words, expressions or the model. (1½ pts. each: ½ pt. for correct article, 1 pt. for appropriate word; 9 pts. total).  MODELO: A Andrés le gusta comprar recuerdos, probar la comida local y observar a la gente. Debe visitar una plaza central.    1. A Laura y a Pedro les interesa pescar y bucear. Deben visitar [1].  2. A Rocío le fascina aprender sobre las figuras o héroes históricos de un país. Debe visitar [2]. 3. Roberto y Cesar son aventureros, y prefieren montar a caballo, hacer excursiones y ver la naturaleza. Deben visitar [3]. 4. Elena estudia la arquitectura, y le interesa ver lugares religiosos. Debe visitar [4]. 5. Patricia prefiere sitios con juegos, montañas rusas (roller coasters) y otras actividades. Debe visitar [5].  6. Catalina y Marta quieren sacar fotos de vistas increíbles. Deben visitar [6].