A 44-year-old, 5′ 9″ tall male patient weighing 85kg (187 lbs) is being mechanically ventilated. An arterial blood gas has been obtained. Ventilatory data and blood gas results are below:Mode: Assist/ControlFIO2: 40%Mandatory Rate: 10Total Rate: 10Vt: 650 mLPEEP: 5 cm H2OMechanical VD: 100 mLBlood GassesPH: 7.28PaCO2: 74 torrPaO2: 57 torrSaO2: 86%HCO3-: 23 mEq/LBE: 0 mEq/LWhich of the following changes should be recommended at this time?

The RT performs a patient-ventilator system check on a 24-year-old, 5-foot, 10-inch male patient who has been intubated because of a drug overdose. The RT notices what appears to be swelling around the patient’s upper anterior chest and neck area. Palpation elicits a tissue paper feeling. The ventilator settings are: PC-CMV, rate 12/min with no patient assist, Peak 25 cm H2O, PEEP 5 cm H2O, FIO2 0.4, TI 1.2 s. The most appropriate action for the RT to take is which of the following?

Which of the following provide bedside assessment of patients’ spontaneous breathing? I. spontaneous tidal volume and respiratory rate II. minute ventilation III. rapid shallow breathing index IV. vital capacity

Which of the following is considered standard monitoring during procedural sedation and analgesia? 

A patient receiving volume-controlled ventilation is ordered to have PEEP initiated. Observation of which of the following values will best determine the optimal level of PEEP?

A patient being mechanically ventilated in the assist-control mode at a rate of 12 breaths/min is triggering the ventilator at a rate of 34 breaths/min. The patient is anxious and agitated and has the following ABG results: pH 7.53 PaCO2 28 mm Hg PaO2 92 mm Hg HCO3 25 mEq/L BE +1 Which of the following medications should the respiratory therapist recommend at this time?

For particle deposition in the respiratory bronchioles and alveoli, it is best to coach a patient to breath in which of the following patterns 1. Inhale a normal tidal volume (VT)2. Inhale rapidly3. Inhale to maximum inspiratory capacity4. Hold breath for 10 seconds5. Inhale at a slow rate of speed

The following data are obtained from a 70-kg (154-lb) male patient with pneumonia on volume-controlled ventilation: Mode: SIMV Ventilator Rate: 4 breaths per minute PS. 10 cm H2O VT. 500 mL FIO2. 40% PEEP. 5 cm H20 Blood Gases pH. 7.28 PaCO2 51 mm Hg PaO2. 70 mm Hg HCO3- 25 mEq/L BE +1 mEq/L On the basis of these data, the respiratory therapist should recommend which of the following?

The therapist feels crepitus around the neck and anterior chest of a patient receiving mechanical ventilation with a high peak inspiratory pressure. Which of the following conditions does the patient likely have?

The following data are obtained from a 32-year-old patient in the ICU on a 60% aerosol mask: Respiratory Rate: 28/min Pulse: 108/min ABG: pH: 7.47 PaCO2: 32 torr PaO2: 55 torr Which of the following would you recommend at this time?