A patient receiving continuous mandatory ventilation in the assist-control mode develops auto-PEEP. Which of the following changes in ventilatory patterns would you consider to minimize the effects of auto-PEEP in this patient?I. decreasing the rateII. using low-rate synchronized intermittent mandatory ventilationIII. decreasing the peak inspiratory flowIV. lowering the VT and letting the PaCO2 rise
Read DetailsA 45 year old, 73”, 200 lb male patient is admitted to the ED with an exacerbation of myasthenia gravis. The RT assesses the patient and finds the patient’s MIPis 15 cmH2O and his VC is 1200 mL. It is decided that the patient requires ventilatory support and the physcian asks for your recommendation. Which of the following would be most appropriate initial ventialtor settings?
Read DetailsA 45 year old, 73”, 200 lb male patient is admitted to the ED with an exacerbation of myasthenia gravis. The RT assesses the patient and finds the patient’s MIPis 15 cmH2O and his VC is 1200 mL. It is decided that the patient requires ventilatory support and the physcian asks for your recommendation. Which of the following would be most appropriate initial ventialtor settings?
Read DetailsA respiratory therapist is perfoming postural drainage and percussion to the lateral basal segment of the right lower lobe for a patient with chronic bronchitis. The patient complains os shortness of breath after being positioned for 10 minutes. Which of the followin modifications shoud the therapist make to the procedure?
Read DetailsThe physician has requested that the respiratory therapist determine a patient’s rapid shallow breathing index (RSBI) before placing the patient on PSV. The patient has a respiratory rate of 32/min and VT of 300 mL. What is the patient’s RSBI?
Read Details