A  female patient on ventilatory support  is intubated with a 7.5 ETT secured at 27 cm mark. The following ventilator settings and parameters are noted: Mode -AC/VC Total Rate – 12 breaths/min Rate – 12 breaths/min Exhaled VT – 600 ml VT – 600 ml VE – 7.2 L/min PEEP – 5 cm H2O FIO2 – 40% The high pressure alarms are being triggered. What should be done at this time?

A patient is in the ICU following a MVC has the following data: pH – 7.59 WBC – 9,500 PaCO2 – 48 torr Hct – 30% PaO2 – 78 torr  Hb – 8 g/dl HCO3 – 24 mEq/L Plt – 210 SaO2 – 96% Glucose – 120 g/dl The patient is breathing room air but is tachypneic at 35 breaths/min. Which of the following would you recommend based on these results?

An ABG was obtained with the following results:   pH – 7.25 PaCO2 – 62 mmHg PaO2 – 60 mmhg HCO3 – 25 mEq/L   This ABG represents:

A physician wants to wean a patient that is currently on APRV. How is weaning accomplished on this mode of ventilation?

What is the normal endotracheal suction pressure for an adult patient?

A patient is on ventilatory support for COPD exacerbation. The following PIP and plateau pressure trending is available: Time 1800 2000 2200 PIP 28 34 40 Plateau 25 26 27 What should the practitioner do first?

Pressure control ventilation (PCV) is a lung protective strategy. Which of these patients is this mode indicated for?

A patient is receiving oxygen at 8 LPM with 50% oxygen via venturi mask. What is the total oxygen flow this patient is receiving?

A patient is being admitted to the ICU from the ER for severe 2nd and 3rd degree burns. Assessment reveals tachypnea, tachycardia, chest retractions with clear breath sounds and MARKED stridor. The patient is awake and alert with a SpO2 of 99%. what should the RCP recommend at this time?

What are some causes of metabolic acidosis?       I.      Renal failure        II.      Diabetic ketoacidosis            III.      Liver failure       IV.      Asthma exacerbation