The endotracheal tube was withdrawn until bilateral breath sounds were heard. and secured at 24 cm at the lip. The physician would like you to recommend appropriate CMV setting for this 6’0″ male patient who weighs 110 kg.   Choose only ONE

The physician agrees with SIMV Rate of 14, VT 550 ml, PEEP +5 cm H2O, FIO2 100%.   What ventilator parameters should be assessed once the patient was placed on CMV?   Select as MANY as appropriate

Assessment reveals: HR 120 bpm, Respiration 35 breaths/min, BP 130/85 mmHg, SpO2 85% Lungsounds: Rhonchi and wheezes in the RUL and RML. Temperature: of 102 F No Cyanosis Strong productive cough with moderate amount of thick yellow secretions. What should be done FIRST?   Choose only ONE

Based on the following ABG results, what is the most likely diagnosis?  pH = 6.89, PaCO2 = 24 torr,  HCO3 = 4.7 mEq/ L a.  Acute uncompensated metabolic acidosis b.  Acute uncompensated respiratory acidosis c.  Partially compensated metabolic acidosis d.  Partially compensated respiratory acidosis

A patient with a 10-year history of chronic bronchitis and an acute viral pneumonia exhibits the following blood gas results breathing room air: pH = 7.22; PCO2 = 67; HCO3- = 26; PO2 = 60. Which of the following best describes this patient’s condition? A. chronic hypoxemic respiratory failure B. acute hypercapnic respiratory failure C. chronic hypercapnic respiratory failure D. acute hypoxemic respiratory failure

In intubated patients, what do sources of increased imposed work of breathing include? I. endotracheal tube II. ventilator circuit III. auto-PEEP   A. I and II B. I and III C. II and III D. I, II and III

A patient has an arterial blood gas that measured PaO2 180 mmHg.  What would the pulse oximeter SpO2 read?

The patient was placed on 10 LPM simple O2 mask and his SpO2 increased to 95% but the patient is still breathing at a rate of 35 breaths/min with use of accessory muscles for breathing. What should be done next?   Choose only ONE

The patient was unresponsive and not breathing. Cardiopulmonary resuscitation was started. You assisted the physician to intubate the patient with a  7.5 ETT  at 26 cm marking at the teeth. What should be assessed just after intubation to assess the placement of the airway?   Select as MANY as appropriate

Which of the following is true of pulse oximetry? 1. An emitter puts out a wavelength of light specific to deoxygenated hemoglobin which is detected by a sensor 2. An emitter puts out a wavelength of light specific to oxygenated hemoglobin which is detected by a sensor 3.  Variance in light is used to detect volume changes which is displayed as a pulse 4. The pressure of oxygen (PO2) is measured, and then displayed as a percentage