An 12 year old child with cystic fibrosis is in the pediatri…
An 12 year old child with cystic fibrosis is in the pediatric ward receiving bland aerosol therapy with 30% FIO2 at 6 LPM. Current vitals are as follows: HR – 105 bpmRR – 30 breaths/minSpO2 – 96% The patient is also using accessory muscles to breathe. What should be done at this time?
Read DetailsA 10 y/o intubated child is intubated on ventilatory support…
A 10 y/o intubated child is intubated on ventilatory support. What should be done prior to suctioning the patient’s lower airways? I. Hyperoxygenate the patient II. Hypoventilate the patient III. Silence the alarms IV. Hyperventilate the patient
Read DetailsA 7 year old 35 kg child is intubated on CMV. The following…
A 7 year old 35 kg child is intubated on CMV. The following parameters and ABG are as follows: Mode – AC/PCV pH – 7.25 Set frequency – 16 PaCO2 – 65 mmHg Pressure – 23 cm H2O PaO2 – 90 mmHg FIO2 – 0.8 HCO3 – 26 mEq/L PEEP – 10 cm H2O BE – 0 Tot frequency – 16 Ex VT – 300 ml
Read DetailsA 2 y/o boy was brought in by his mom that her son is exhibi…
A 2 y/o boy was brought in by his mom that her son is exhibiting SOB with coughing. She stated that he was just playing in his room when he started to exhibit symptoms. Current vitals are as follows: Pulse rate – 110 bpm RR – 35 breaths/min SpO2 – 91% Temp. – 37 degrees celsius Breathsounds – Stridor What should the respiratory therapist suspect?
Read Details14 year old girl is on CPAP of 10 cm H2O at an FIO2 of 80% ….
14 year old girl is on CPAP of 10 cm H2O at an FIO2 of 80% . She looks lethargic and breathing at a rate of 12 breaths/min. The following is an ABG analysis on the current therapy: pH – 7.23 PaCO2 – 65 mmHg PaO2 – 45 mmHg HCO3 – 25 mEq/L What is recommended at this time?
Read DetailsA patient is currently on mechanical ventilation with the fo…
A patient is currently on mechanical ventilation with the following information: Settings Hemodynamics Mode – A/C CVP – 5 mmHg Rate – 10 PAP – 28 mmHg Pressure – 25 cm H2O PCWP – 10 mmHg FIO2 – 0.80 QT – 7 L/min PEEP – 5 cm H2O Tot Rate – 10 Ex. VT – 400 ml Find the V/Q ratio and R/O the possibility:
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