A patient in the emergency department  is tachypneic and has a pulse rate of 125 bpm. The pulse-ox reading is 86% and the patient is starting to use his accessory muscles. He is currently on oxygen via nasal cannula running at 3 lpm. What should you do at this time?

During unpressurized helicopter transport, What will happen as the transport vehicle ascends?

A patient currently on mechanical ventilation with a pneumothorax just had a chest tube placed. What suction pressure should be set on the pleura-Vac?  

Respiratory non-disposable equipments made of plastic and rubber needs to be disinfected. What method of disinfection can you use?

A chest radiograph result is available for a patient: This chest radiograph should be ruled out for:

A patient on CMV has a capnometer with the following tracing: What does this tracing indicate?

A Pulmonary function test was established on Mr. Gonzalez. The following results are as follows.                                                   PREDICTED         ACTUAL          PERCENTAGE %FEV1                                  3.8 ml                    2.5 ml                     67FEF  25-75              4.8 L/sec               3.1 L/sec                 64FEF 200-1200         8.3 L/sec              5.8 L/sec                 70TLC                           6.5 L                      4.8L                        75RV                             1.8 L                      1.3                          73What can you conclude from the following results?

Which of the following is an assessment of the patient’s orientation?I. Able to be alerted or arousedII. Knows who they areIII. Can follow simple commandsIV. Can identify where they are

A patient post hip replacement remained on mechanical ventilation due to complications. Assess the ventilation to perfusion ratio with the following information given:Mode     A/C                   Tot Rate  20                  Pulse – 125Rate      14                      Ex. VT  500 ml              BP – 95/55VT         450 ml               PIP  25 ml                    SpO2 – 85%PEEP    10 cm H2O        Plat  20 ml                    QT – 4 lpmFIO2      0.80pH – 7.27PaCO2  – 55 mmHgPaO2  – 52 mmHgHCO3  – 25 mEq/LHb – 14 mg/dlSaO2 – 80%What assessment would you convey to the surgeon?

A patient just recently inubated and placed on the ventilatory support has the following ventilator settings, patient parameters and arterial blood gas results.Mode = AC                   pH = 7.36 f = 14                            PaCO2 = 50 mmHg      VT = 600 ml                 PaO2 = 48 mmHg FIO2 = 0.70                   HCO3 = 30PEEP = 0 cm H2OPETCO2 = 30 mmHgWhat is the deadspace to tidal volume ratio?