A patient is in the ICU intubated due to metabolic acidosis and respiratory muscle fatigue: pH – 6.98 WBC – 9,500 PaCO2 – 30 torr Hct – 42% PaO2 – 98 torr  Hb – 14 g/dl HCO3 – 10 mEq/L Plt – 250 SaO2 – 97% Glucose – 850 g/dl Which of the following would you recommend based on these results?

A patient on vent support has the following data: Mode – AC/PRVC pH – 7.35 Rate – 12 breaths/min PaCO2 – 50 torr VT – 550 ml PaO2 – 250 torr PEEP – 10 cm H2O HCO3 – 25 mE/L FIO2 – 0.80 BE – 0 What should be done now?

A patient with peripheral edema has the following ABG? pH  –  7.15 PaC02  –  32 torr Pa02   –  85 torr HCO3   –  15 mEq/L What pathology does this match?

Which of the following device is a high flow oxygen system?

A  female patient on ventilatory support  is intubated with a 7.5 ETT secured at 27 cm mark. The following ventilator settings and parameters are noted: Mode -AC/VC Total Rate – 12 breaths/min Rate – 12 breaths/min Exhaled VT – 600 ml VT – 600 ml VE – 7.2 L/min PEEP – 5 cm H2O FIO2 – 40% The high pressure alarms are being triggered. What should be done at this time?

A patient is in the ICU following a MVC has the following data: pH – 7.59 WBC – 9,500 PaCO2 – 48 torr Hct – 30% PaO2 – 78 torr  Hb – 8 g/dl HCO3 – 24 mEq/L Plt – 210 SaO2 – 96% Glucose – 120 g/dl The patient is breathing room air but is tachypneic at 35 breaths/min. Which of the following would you recommend based on these results?

An ABG was obtained with the following results:   pH – 7.25 PaCO2 – 62 mmHg PaO2 – 60 mmhg HCO3 – 25 mEq/L   This ABG represents:

A physician wants to wean a patient that is currently on APRV. How is weaning accomplished on this mode of ventilation?

What is the normal endotracheal suction pressure for an adult patient?

A patient is on ventilatory support for COPD exacerbation. The following PIP and plateau pressure trending is available: Time 1800 2000 2200 PIP 28 34 40 Plateau 25 26 27 What should the practitioner do first?