A patient with a 10-year history of chronic bronchitis and a…
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?
Read DetailsA 54-year-old male is admitted to the hospital with a pneumo…
A 54-year-old male is admitted to the hospital with a pneumonia. He reports that recently he has had lots of tooth pain, and his dentist diagnosed him with a tooth abscess. After being in significant respiratory distress, he is placed on a ventilator where he has been for 2 days now. His PaO2 is 60 torr on 50% O2. This morning’s CXR shows bilateral fluffy infiltrates. PCWP is 14 mmHg. Which of the following is true?
Read DetailsA 16-year-old is found unresponsive in a fire in the mobile…
A 16-year-old is found unresponsive in a fire in the mobile home where he lives. He is conscious, smells heavily of smoke, but has no visible burns. Vitals include BP 114/76, HR 112, RR 18, SpO2 100% on RA. Which of the following should be done FIRST?
Read DetailsA 50-kg (110-pound) 30-year-old female patient has myastheni…
A 50-kg (110-pound) 30-year-old female patient has myasthenia gravis. Bedside spirometry has found her VC to be 700 mL and NIF –14 cm H2O. Vital signs show a respiratory rate of 38 breaths/min, a heart rate of 140/minute, and blood pressure of 130/90 mm Hg. What should the respiratory therapist recommend?
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