A 28 y/o male is taken to the emergency department following…
A 28 y/o male is taken to the emergency department following a fainting episode that occurred while assisting in a patient transport. His blood pressure was 76/50 mmHg. There is no known history of any illnesses and the patient is known to exercise frequently. Hemoglobin, and hematocrit are normal and vitals are now stable. An arterial blood gas was drawn on room air and results are below:pH 7.34PaCO2 45 torrPaO2 40 torrHCO3 23 mEq/LBE -2 mEq/LThe most likely cause for these results is:
Read DetailsFollowing abdominal surgery, a 26 year old man is receiving…
Following abdominal surgery, a 26 year old man is receiving volume controlled ventilation in the assist/control mode with a mandatory rate of 10/min. When monitoring the ventilator, the respiratory therapist notes the total respiratory rate is 30/min and there is no detectable patient effort during all breaths. The therapist should do which of the following?
Read DetailsA ventilator with a galvanic fuel cell analyzer is in use. T…
A ventilator with a galvanic fuel cell analyzer is in use. The low FIO2 alarm is activated. The respiratory therapist confirms the ordered FIO2 is being delivered with another analyzer. Which of the following should the therapist do first with the original analyzer?
Read DetailsA 85 kg, 45 year old male sustained a lung contusion during…
A 85 kg, 45 year old male sustained a lung contusion during a crash following a high speed chase. He is receiving Vecuronium bromide (Norcuron) for neuromuscular blockage and Lorazepam (Ativan) for sedation. He has been receiving pressure-controlled ventilation for 48 hours and following data are available:Mode SIMVFIO2 0.70Set rate 15Exhaled tidal volume 600 mlPEEP 20 cm H2OPIP 38 cm H2OInspiratory time 1.0 secpH 7.30PaCO2 50 torrPaO2 45 torrHCO3 23 mEq/LBE -3 mEq/LWhich of the following should the respiratory therapist increase first?
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