52 year old male brought to the ED status post motor cycle a…
52 year old male brought to the ED status post motor cycle accident. Imaging shows multiple head trauma and 8 broken ribs, subdural hematoma and cervical spine fracture. CT chest and abdomen shows bilateral pleural effusion and lacerated liver. Hemodynamics and VS: HR 130 BP 82/54CVP 2mmHg ICP 17 mmHg Hb 9.8 g/dLWhat would you recommend?
Read DetailsA 75-kg patient is receiving mechanical ventilation with the…
A 75-kg patient is receiving mechanical ventilation with the following data, who appears to be anxious and has mild accessory muscle use:Mode: SIMVrate: 8FiO2: 0.40Vt: 550 mLflow: 60 L/minPIP: 35 cmH2OPplat: 17 cmH2OPEEP: 3 cmH2Ospontaneous rate: 15 bpmABG:pH: 7.43PaCO2: 35 torrPaO2: 73 torrHCO3: 24 mEq/LBE: 0 mEq/LWhat should the RT recommend?
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 73 year old asthmatic with chronic bronchitis and 25 pack…
A 73 year old asthmatic with chronic bronchitis and 25 pack year history of smoking is admitted into the ED. You perform a physical assessment and note the following:breath sounds: diminished with end-exhalation wheezes bibasilarRR: 35 bpmB/P 185/95accessory muscle useABGs: pH: 7.12PaCO2: 87 torrPaO2: 39 torrHCO3: 35 mEq/LWhat should be recommended at this time by the RT?
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