The pulmonologist has asked the respiratory therapist to eva…
The pulmonologist has asked the respiratory therapist to evaluate a patient for extubation. The patient has the following values recorded:PaO2 of 80 torr on 0.30 FiO2SaO2 of 94%positive gag reflexpositive leak testraises head off pillow upon commandsensorium: alertcoughs deeply when suctionedMEP: 70 cmH2OBased on these findings, what should the RT recommend?
Read DetailsBONUS: You are assisting a physician during a thoracentesis…
BONUS: You are assisting a physician during a thoracentesis on a patient with a pleural effusion on the right side. The physician asks you to provide him with a needle for anesthesizing the area. What size needle will you provide?
Read DetailsA patient with ARDS is receiving mechanical ventilation with…
A patient with ARDS is receiving mechanical ventilation with the following settings:Mode: PCVPIP: 20 cmH2Orate: 12 bpmTI: 1 secondI:E: 1:1FiO2: 0.50PEEP: 15 cmH2OVt exhaled: 6 mL/kgABGs:pH: 7.28PCO2: 55 torrPO2: 62 torrThe pulmonologist wants to maintain a PaCO2 of 40 to 45 mmHg. Which of the following would the respiratory therapist recommend?
Read DetailsA home care patient will be receiving oxygen therapy via a t…
A home care patient will be receiving oxygen therapy via a transtracheal catheter. How should the patient be instructed with regard to the oxygen system?I. that the flow can be increased to 5 L/minII. the administration of oxygen can begin immediately once the procedure has been completedIII. the catheter may require daily cleaningIV. the catheter will not be inserted until the stent is removed
Read DetailsA chronic obstructive pulmonary disease (COPD) patient recei…
A chronic obstructive pulmonary disease (COPD) patient receiving ventilatory support in the CMV assist-control mode at a rate of 14 and a VT of 750 ml exhibits clinical signs of air-trapping. Which of the following would you recommend to correct this problem?I. Decrease “E” time.II. Increase the inspiratory flow rate.III. Decrease the assist-control rate.
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