Which biome has the widest range of variability in precipitation?

What terrestrial biome has more biomass belowground than it does aboveground?

When resuscitating a pediatric patient, where should palpation of the pulse occur?

A pediatric patient has a spontaneous pneumothorax of their right lung. The patient is exhibiting SOB with Tachycardia and desaturations. The physician would like to place a chest tube. Where should the chest tube be inserted?  

A 60 y/o male was brought into the ER with shortness of breath, insatiable thirst and fruity odor of his urine. An arterial blood gas was drawn with the following result:pH – 7.15PaCO2 – 25 mmHgPaO2 – 90 mmHgHCO3 – 13 mEq/LBE – (-10 mEq/L)What is the cause of this blood gas?

An intubated 60 kg patient on CPAP and Pressure support has the following spontaneous breathing trial? Rate – 20 breaths/minVC of 1.5 LVE of 8 L/min lpmNIF of -24 cm H2O Spontaneous VT of 350 ml RSBI – 57 The patient is awake and alert with a positive leak test upon cuff deflation. What should the respiratory therapist recommend?

A 30 Kg pediatric patient in the emergency department is currently on HFNC at 40 lpm with an FIO2 of 0.60. The ER physician would like to intubated and place on mechanical ventilation due to progressive respiratory failure. What ventilator settings should be recommended?

A 5 year old child is intubated on CMV. The following parameters and ABG are as follows: Settings Parameters Blood Gas Mode – AC/PCV Total f – 25 pH – 7.35 f – 20      Ex VT – 200 ml PaCO2 – 44 mmHg Pressure – 35 cm H2O     PaO2 – 45 mmHg PEEP – 5 cm H2O    HCO3 – 25 mEq/L FIO2 – 0.35   BE – 0     Hb – 14 The child is sedated and exhibiting optimal chest rise. What could you do at this time?

Which of the following is NOT true about biology?

An 12 year old child with cystic fibrosis is in the pediatric ward receiving bland aerosol therapy with 30% FIO2 at 6 LPM. Current vitals are as follows: HR – 105 bpmRR – 30 breaths/minSpO2 – 96% The patient is also using accessory muscles to breathe. What should be done at this time?