A 70 kg (154 lb) patient with ARDS is recieving volume-contr…
A 70 kg (154 lb) patient with ARDS is recieving volume-controlled ventilation. The ventilator settings are as follows:Mode ACFIO2 0.60Mandatory Rate 12Total Rate 12VT 700 mlPEEP 10 cm H2OInspiratory flow 40 LPMInspiratory Pause 1.5 secInspiratory pattern Square waveThe respiratory therapist should do which of the following to minimize auto-PEEP?
Read DetailsA patient recieving mechanical ventilation has also been rec…
A patient recieving mechanical ventilation has also been recieving inline bronchodilator treatments every 4 hours. To determine the effectiveness of these treatments over the last 24 hours, the respiratory therapist should review the patient’s records for changes in:
Read DetailsThe following data were recorded from a pulmonary artery cat…
The following data were recorded from a pulmonary artery catheter: Central venous pressure 10 mmHg Pulmonary arterial pressure 40/15 mmHgPulmonary wedge pressure 20 mmHgCardiac Index 1.5 L/min/m2These data most likely represent:
Read DetailsA 65 year old male has been receiving 250 mcg of fluticasone…
A 65 year old male has been receiving 250 mcg of fluticasone / 50 mcg of salmeterol (Advair), one inhalation twice daily for 2 months. He has improved, but continues to experience wheezing daily and frequent night time awakenings with dyspnea. Which of the following should the respiratory therapist recommend?
Read DetailsA 60 y/o , 90 kg man is admitted to the ICU following smoke…
A 60 y/o , 90 kg man is admitted to the ICU following smoke inhalation. He has a respiratory rate of 28/min while recieving supplemental oxygen by non-rebreathing mask at 15 L/min. Arterial blood gas results are as follows:pH 7.25PaCO2 60 torr PaO2 39 torrHCO3 25 mEq/LBE -1 mEq/LWhich of the following is the appropriate therapy for this patient?
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