Four hours after a quadruple coronary artery bypass graft, a…
Four hours after a quadruple coronary artery bypass graft, a patient’s blood pressure is 90/50 mm Hg and the patient is ashen in color. The following data is also available: PAP 10 mm Hg PCWP 5 mm Hg CVP 1 mm Hg The patient could benefit most from which of the following?
Read DetailsA patient is receiving non-invasive positive pressure ventil…
A patient is receiving non-invasive positive pressure ventilation by mask with an IPAP of 12 cm H2O and an EPAP of 4 cm H2O. Corresponding blood gas data is as follows: pH 7.49 PaCO2 30 mm Hg PaO2 87 mm Hg HCO3- 24 mEq/L BE -0 mEq/L Which adjustment is most appropriate?
Read DetailsDuring a preoperational test of the ventilator with a test l…
During a preoperational test of the ventilator with a test lung, the respiratory therapist notes a return tidal volume of 600 mL. Ventilator settings are:ModeA/CFIO20.50Mandatory rate10VT750mLWhat action should the therapist take?
Read DetailsA 68-year-old male patient has the following pulmonary funct…
A 68-year-old male patient has the following pulmonary function values: Fev1/FVC% 79% FVC 62% of predicted FEF25-75 81% of predicted FEF200-1200 84% of predicted Which of the following could represent the patient’s diagnosis?
Read DetailsAn adult male patient, who is receiving volume-controlled ve…
An adult male patient, who is receiving volume-controlled ventilation, has a chest tube drainage system in place with a chest tube in the right anterior lung. Suction pressure at the wall is set to 120 mm Hg. The therapist notices profuse bubbling in the water-seal chamber. The low-volume ventiltor alarm is sounding and the digital display on the ventilator indicates a return volume of 220 mL. About which of the following clinical conditions should the respiratory therapist worry about most?
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