Author: Anonymous

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.

The amount of time spent suctioning is brief and must not exceed  _____ seconds. Suction should be applied intermittently rather than continuously.

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 ____.

Which of the following do not contribute to improving oxygenation. 

Which of the following are strategies used in treating mechanically ventilated severe ARDS patients?

Identify bone marking 19 (to help view, there is a black circle around it). [19] What cranial nerve (ID its NAME, not number) passes through 19? [20]

Identify bone marking 23. [23] What cranial nerve (ID the NAME, not number) passes through 23? [24] For 1 point of extra credit, identify 1 consequence of damage to this nerve [ec5]  

Name the bone marking including the name of the bone that forms a joint with 21. [21] For 1 point of extra credit, name the 2 specific ACTIONS that ONLY occurs at the joint formed by 21 [ec4] Identify bone marking 22. [22]

Appellant Ben was arrested for bank robbery and moved to suppress a statement made to the police on the grounds that the warnings he received by the police did not satisfy Miranda v. Arizona. The Fourth Circuit upheld his conviction on the grounds that the New Calizonia legislature adopted the following statutory language. “The constitutional requirements of the fifth amendment self-incrimination clause will be satisfied if a confession is deemed to be voluntary. The issue of voluntariness will take into account the circumstances surrounding the confession including (a) the time elapsing between arrest and arraignment of the defendant making the confession; (b) whether such defendant knew the nature of the offense with which he was charged, (c) whether the defendant was advised prior to questioning of the right to the existence of counsel; and (d) Whether the defendant was advised he was not required to make any statement.”In reviewing Ben’s conviction, the court will most likely:

Art was pulled over to the side of the road and was informed by Officer Johnson that he was driving erratically.  The officer queried whether Art was drunk driving.  Art responded, “No, I haven’t had anything to drink while I’ve been driving.”  Art failed a breathalyzer test and was taken to the county jail.  While this was transpiring, a police radio dispatcher had sent out a general alert that a drunk driver had struck a pedestrian in a crosswalk. The accident happened just a few blocks down the road from where Art had been arrested. Officer Kennedy arrived on the scene and interviewed Ben, who had witnessed the accident.  Ben got a quick glance of the driver and described him as a blonde male who wore glasses. The next day, Art was placed behind a one-way glass window where Ben identified Art as the driver of the car that had struck the pedestrian.  Art is a blonde male who wears glasses.  Art was then transferred to an interrogation room where Officer Johnson administered Miranda warnings as follows: Since you’re in custody, before I can even talk to you I have to do the formal little rights things, okay? So, You have the right to remain silent. If you give up the right to remain silent, anything you say can be used against you in court. You have the right to talk to a lawyer before answering any of our questions. If you cannot afford to hire a lawyer, one will be appointed for you without cost and before any questioning. You have the right to use any of these rights at any time you want during this interview. Art immediately responded to Officer Johnson that “I aint saying nothing.”  Officer Johnson then immediately ended the encounter with Art, but as he was about to leave the interrogation room, Art asked him, “so what’s going to happen to me now?”  Officer Johnson then reminded Art that he did not have to talk to him but Art persisted in his inquiry and in the process made several incriminating statements.  Discuss all legal issues regarding (a) the admissibility of Art’s statement to Officer Johnson at the side of the road; (b) the identification of Art by Ben; (c) the adequacy of the Miranda warnings; (d) the legal significance of Art’s refusal to say anything; & (e) the admissibility of Art’s incriminating statements to Officer Johnson in the interrogation room.