A 3-year-old is brought to the emergency department via ambu…
A 3-year-old is brought to the emergency department via ambulance after the parents called 911 when they noticed their child’s behavior changed and his tongue began to swell. Based on the table below, what is the nurse’s 2 priority actions to anticipate? 0930 Temp. 37.2oC (98.9oF) HR 110 bpm RR 42 breaths/min O2 88% on RA Assessment Wheezing, dyspnea, visibly anxious, visualization of swollen tongue and rash surrounding mouth
Read DetailsA 26 year old patient has been receiving mechanical ventilat…
A 26 year old patient has been receiving mechanical ventilation in the assist/control mode for 48 hours. The sensitivity is set at -2 cm H2O. The patient is awake and periodically breathing out of phase with the ventilator. Arterial blood gas results with an FIO2 of 0.40 are as follows: pH 7.43PaCO2 37 torrPaO2 82 torrHCO3 24 mEq/LBE -2 mEq/LWhich of the following should the respiratory therapist do?
Read DetailsA 17 year-old female who weighs 50 kg (110 lb) is admitted t…
A 17 year-old female who weighs 50 kg (110 lb) is admitted to the surgical intensive care unit following open laparotomy and repair of the liver laceration sustained during a fall. The patient is intubated and recieving volume-controlled mechanical ventilation. The following data are available:Mode SIMVFIO2 0.50Mandatory rate 12Total rate 28Tidal volume 450 mlPEEP 5 cm H2OPressure support 6 cm H2OInspiratory flow 30 L/minFlow pattern square waveSpO2 97%The patient is hemodynamically stable and afebrile. The respiratory therapist notes intercostal retractions and paradoxical chest-abdominal motion during inspiration. The therapist should do which of the following to improve ventilator synchrony?
Read DetailsA 65 year old patient with COPD is recieving 28% oxygen by a…
A 65 year old patient with COPD is recieving 28% oxygen by a tracheostomy collar through an 8.0 mm cuffed tracheostomy tube. The patient’s medical history is signficant for respiratory failure with mechanical ventilation and difficulty with tracheostomy tube removal. The patient occasionally requires nocturnal mechanical ventilation. To slowly progress to decannulation, the respiratory therapist should recommend:
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