Which of the following recommendations should NOT be included in the respiratory care plan of a COPD patient with emphysema who has RHF and is being treated at home?I. flutter therapyII. mask CPAPIII. chest physiotherapyIV. metered dose inhaler
Read DetailsYou are an RT who is beginning your shift and are assigned to the ED; the outgoing RT reports that there is a patient with inspiratory stridor due to laryngeal edema. The physician ordered Heliox therapy at a concentration of 60/40 and was set up via a NRB mask at 10 L/min. What is the actual flow rate that is being delivered to the patient by the O2 flow meter?
Read DetailsYour patient is being mechanically ventilated when the nurse calls you to evaluate the patient’s condition. You discover that her breath sounds are absent over the left lung field, the left-sided percussion note is hyperresonant, and peak airway pressures have increased from 40 to 65 cm H2O. What would you recommend?
Read DetailsA postoperative patient complaining of dyspnea is found to have tachypnea and tachycardia, and is somewhat confused. Breath sounds reveal end inspiratory crackles in both lung bases. An arterial blood gas is drawn and reveals the following: pH 7.49; partial pressure of carbon dioxide (PaCO2) 33 mm Hg; partial pressure of oxygen (PaO2) 51 mm Hg; arterial oxygen saturation (SaO2) 87%; bicarbonate (HCO3-) 25 mEq/L while on a 30% air entrainment mask. The most appropriate respiratory therapy intervention includes which of the following?
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