A patient in the MICU who suffered a near-drowning incident…
A patient in the MICU who suffered a near-drowning incident is on pressure support ventilation at 20 cmH2O with a tidal volume delivery of 10 mL/kg. The patient has been on this mode for the last 48 hour. When you enter his room, you notice that the patient suddenly exhibits refractory hypoxemia, decrease in lung compliance and tachypnea. A STAT CXR reveals pulmonary infiltrates in all lung fields. Which of the following modes of mechanical ventilation would be appropriate at this time?
Read DetailsThree Live Synchronous Instruction (via Zoom) meetings will…
Three Live Synchronous Instruction (via Zoom) meetings will be scheduled throughout the semester. While attendance is not mandatory, you are encouraged to participate as these meetings are designed to provide live instructional support for our online course. Per the course syllabus, when are these meetings scheduled?
Read DetailsA patient who weighs 66 kg (165 lb), in order to maintain a…
A patient who weighs 66 kg (165 lb), in order to maintain a PaCO2 within the normal range, requires a minute ventilation of 16 L/min while on a mechanical ventilator. Which of the following could explain the patient’s ventilator requirements based on the following parameters? increased dead space ventilation febrile patient increased intrapulmonary shunting excessive caloric intake
Read DetailsA postoperative patient complaining of dyspnea is found to h…
A postoperative patient complaining of dyspnea is found to have tachypnea and tachycardia, and is somewhat confused. Breath sounds reveal end inspiratory crackles in both lung bases. An arterial blood gas is drawn and reveals the following: pH 7.49; partial pressure of carbon dioxide (PaCO2) 33 mm Hg; partial pressure of oxygen (PaO2) 51 mm Hg; arterial oxygen saturation (SaO2) 87%; bicarbonate (HCO3-) 25 mEq/L while on a 30% air entrainment mask. The most appropriate respiratory therapy intervention includes which of the following?
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