What is this patient’s creatinine clearance? (Using the Cockcroft-Gault equation, round to the nearest hundredth, except no trailing zeros)    [crcl] mL/min

The nurse calls you to a patient room who is using Vapotherm and states the patient went to the restroom and the unit was put in standby, when the patient returned the device was started and water began flowing out of the nasal cannula, You explained this happened because 

The physician calls you to set up Vapotherm HFNC on an adult patient.  Upon entering the patients room you notice the patient is using accessory muscles, RR 28, HR 110, SpO2 91%. Which of the following setting would be appropriate

Which condition may result from excessive PEEP like affects in the lungs when using Vapotherm (HFNC)

A 60 year old 90kg (198 lb.) man is admitted to the ICU following smoke inhalation.  The RR is 28/min and the patient is on a NRM.   ABG’s are as follows:   pH 7.58, paC02 22torr, pa02 90 torr, HC03 22 meq/L, Base Excess -2.  What is your recommendation?

A neonatal patient receiving HFOV is on the following settings:  12 Hz, MAP 8cmH20, Amplitude 16cmH20, fi02 50%.  How can you tell if the amplitude is the correct setting?

A patient on NAVA has an Edi signal of 13.6, an Edi min of 0.6 cmH20, a NAVA level of 1.2and a PEEP of 5 cmH20. What amount of pressure support + PEEP are they receiving?

A patient is intubated in the ICU for airway management post intracranial hemorrhage.    Ventilator settings are PRVC rate of 18/min, VT 600ml, fi02 .30, PEEP 5 cmH20.  The patient’s IBW is 75 kg.   ΔP is 22 cmH20.   Abg’s on these settings:  sp02 97%, pH 7.58, paC02 22torr, pa02 90 torr, HC03 22 meq/L, Base Excess -2.  What changes would you recommend, if any?

A patient is switched from PRVC to SIMV mode, rate of 10/min, VT 350 ml, fi02 0.40, PEEP 5 cmH20, Pressure Support 8 cmH20,  I-time is 1.0 second in which she had a comfortable work of breathing.  After the switch, here are the ventilator parameters:  PIP 36 cmH20, PPlat 20 cmH20, spon VT 200 ml’s, total RR 35/min, I:E 1:1, Ve 11.5 L.  Patient Assessment:  increased work of breathing with paradoxical respirations noted. Abg’s: pH 7.38, paC02 43 torr, pa02 65 torr,  HC03 22 meq/L, B.E. -What could you attribute this clinical picture to?

Read p.164, Understanding the Structure of the Presentation, in your Textbook.  A well organized presentation has 3 parts: an Introduction, a Body, and a Conclusion.  For your presentations, you will need to use these phrases when introducing information/topics for each of these 3 parts. Match the Useful Phrases for Presenting  on pages 173-174 with the correct part of a presentation.