What might be a contraindication for using BIPAP?

pH: 7.71, CO2: 49, HCO3: 36Interpret these lab values and determine what condition the patient is in.

The fraction of inspired oxygen (FIO 2) increases with:

pH: 7.85, CO2: 55, HCO3: 30 Interpret these lab values and determine what condition the patient is in.

In early childhood, Eric was very focused on playing with toy cars. They were all he talked about. He brought them in the car, to school and even when he stayed overnight at the homes of family members. He was entirely focused on playing with cars and talking about cars. What tendency present during early childhood does Eric exemplify? 

As a parent, Jermaine aims to set rules and guidelines and hold his child accountable for meeting those expectations. When those expectations are not met, he explains to his child what they could do to follow the rules in future scenarios. In addition, he occasionally places his children in time-out when they misbehave or takes away privileges. Jermaine is very warm and enthusiastic in playing with his child and praising him for when they succeed and follow the rules. Jermaine and his child are often seen laughing and joking with each other. What parenting style would Baumrind describe Jermaine displaying? 

A patient presents with jaundice and spider angiomas. Labs show AST 220 and ALT 90. Which condition do these findings most suggest?

At the moment the abdomen is being insufflated, the heart rate abruptly falls from 72 to 38 and blood pressure drops. The first intervention is to:

During a parathyroidectomy, the surgeon has difficulty locating the gland and asks you to give methylene blue. Minutes later the SpO2 reads 85% with a blood pressure (124/78), EtCO2 of 38 mmHG and heart rate (66) are stable and breath sounds are clear. Which is the most appropriate action?

A patient with severe acute pancreatitis is hypotensive with a heart rate of 120, a high cardiac output, and low systemic vascular resistance. Which best explains the hemodynamic picture?