A 71-year-old patient is currently on the following settings: BIPAP: 10/5, RR 18 and FIO2 45%   His ABG reveals the following: pH 7.31 PaCO2  49 Pa02 81 HCO3 24 Sa02 95 What should the respiratory therapist recommend?

What should the respiratory therapist recommend? 1. Duoneb Q4 2. Continuous nebulizer treatment with 10 mg albuterol and 1 mg atrovent 3. BIPAP: 15/5, RR 12 and 50% 4. Intubation and mechanical ventilation

A barely arousable 63-year-old female arrives in the ER via EMS.  Her daughter reports that she takes hydrocodone PRN at home.  Her room air ABG reveals the following: ABG pH 7.27 PaCO2 61 PaO2 62 HCO3 25 Sa02 91%   Which of the following should the respiratory therapist recommend? 1. Flumazenil (Romazicon) 2. Naloxone (Narcan) 3. CPAP 4. BIPAP

Which of the following is not an indication for NIV? 1. RR of 28 2. P/F ratio of 380 3. pH of 7.27 4. PaCO2 of 51

What is the main advantage of NIV/NPPV  compared to invasive mechanical ventiltion?

A 71-year-old female presents to the ER with SOB.  Her room air ABG reveals the following: ABG pH 7.36 PaCO2 65 PaO2 44 HCO3 32 Sa02 81% What should the respiratory therapist recommend?

Calculate the P/F ratio:

An 81-year-old male patient has been ventilated on the following settings for one hour: BIPAP: 20/8, RR 20 and 100%   His ABG reveals the following: ABG pH 7.19 PaCO2 86 PaO2 62 HCO3 25 Sa02 89%   Which of the following should the respiratory therapist recommend?

During the assessment of a 66-year-old female patient on BIPAP, the patient is found to have agonal respirations.  What should the respiratory therapist recommend?  

A somnolent 45-year-old male is currently on a 40% air-entrainment mask.  His assessment reveals the following: ABG pH 7.25 PaCO2 59 PaO2 51 HCO3 14 Sa02 86% VITALS HR 132 RR 29 BP 76/40 TEMP 102.1° F SpO2 87% LABS WBC 15,000 per mm3 LACTIC ACID 5.4 mEq/L What should the respiratory therapist recommend?