The following data is collected on an 65 kg (132lb) female patient receiving volume ventilation  Mode  SIMV                         ABG Results:  Rate   12                            PH                 7.47  Vt    500 ml                        PaCO2          32  PEEP 5                                PaO2             57  FiO2  .50                             HCO3            23  PS      10                              BE                 -2  Total Rate 24Which of the following is the most appropriate recommendation?

The advantage of an in-line suction catheter is that disconnecting the patient from the ventilator can be avoided. This is especially important in patients on high FiO2 s and PEEP where disconnection  increases the likelihood of hypoxia and alveolar collapse.

Reversal of opioid side effects can be accomplished with which of the following opioid antagonist ____.

Which of the following do not contribute to improving oxygenation. 

Suctioning should be preceded by hyperventilation & hyperoxygenation with 100% O2 to avoid hazards of hypoxemia and bradycardia.

During mechanical ventilation of a non spontaneously breathing CHF patient, the PaCO2 = 28 mm Hg and the f (rate)= 16/min. If the desired PaCO2 is 40, then the f (rate) must be changed to ____.

In the In the case of air trapping (auto-PEEP);  decreasing the flow or increasing the I- Time are appropriate changes to reduce intrinsic PEEP.

Common causes of metabolic alkalosis include all of the following except ____.

   A 65 kg male patient on a volume ventilator is on the following settings:            SIMV Mode                                      ABG Results:           Vt 500 ml                                         PH        7.47           Ventilator rate 12/min                   PaCO2  33            Total Rate  16/min                          PaO2    82            FiO2 .30                                            HCO3   23           Pressure Support 10                      BE       +1  Based on this data, which of the following is the most appropriate recommendation at this time?

A deliberate limitation of ventilatory support which allows the PaCO2 to rise while keeping PH >/= 7.25  to avoid lung overdistention and injury is termed ____.