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?

A 5 year old boy on CMV needs endotracheal suctioning. What suction pressure should the therapist set the suction dev ice to?

A 10 y/o intubated child is intubated on ventilatory support. What should be done prior to suctioning the patient’s lower airways?   I. Hyperoxygenate the patient II. Hypoventilate the patient III. Silence the alarms IV. Hyperventilate the patient

A 5 y/o child is now going home from the hospital after being admitted for status asthmaticus. The physician ordered a PRN Albuterol for him. How should this be delivered if they have an asthma exacerbation at school?

A 7 year old 35 kg child is intubated on CMV. The following parameters and ABG are as follows: Mode – AC/PCV  pH – 7.25 Set frequency – 16 PaCO2 – 65 mmHg Pressure – 23 cm H2O  PaO2 – 90 mmHg FIO2 – 0.8        HCO3 – 26 mEq/L PEEP – 10 cm H2O BE – 0 Tot frequency – 16 Ex VT – 300 ml

A 2 y/o boy was brought in by his mom that her son is exhibiting SOB with coughing. She stated that he was just playing in his room when he started to exhibit symptoms. Current vitals are as follows: Pulse rate – 110 bpm RR – 35 breaths/min SpO2 – 91% Temp. – 37 degrees celsius Breathsounds – Stridor What should the respiratory therapist suspect?

14 year old girl is on CPAP of 10 cm H2O at an FIO2 of 80% . She looks lethargic and breathing at a rate of 12 breaths/min. The following is an ABG analysis on the current therapy:   pH – 7.23 PaCO2 – 65 mmHg PaO2 – 45 mmHg HCO3 – 25 mEq/L   What is recommended at this time?

Which of the following statements about epiglottitis is true:I. May require immediate intubationII. Usually treated with cool aerosolIII. High grade feverIV. Presents with drooling