Clinical Simulation 3   You are a respiratory therapist star…

Clinical Simulation 3   You are a respiratory therapist starting your shift in the ICU. Your first patient is a 5’8″ 65 y/o male patient intubated on CMV due to respiratory failure secondary to COPD exacerbation. Current ventilator settings are AC rate of 12, VT 550 ml, +5 cm H2O PEEP and 60% FIO2. What  ventilator parameters should you assess at this time?   Select as MANY as indicated

Further assessment reveals: – ECG: Sinus tachycardia – Sputu…

Further assessment reveals: – ECG: Sinus tachycardia – Sputum C&S: Gram negative bacteria found  – Electrolytes: Na 138, Cl 99, CO2 25, K 4.0 – CBC: WBC 15,000, Hct 45%, Hb 15, Plt 210 – CXR: Consolidation with infiltrates present in the RML and RLL – ABG: pH 7.46, PaCO2 33 torr, PaO2 65 torr, HCO3 24 mEq/L   What should you recommend at this time?   Choose only ONE

The ER physician orders bronchodilator protocol and asks you…

The ER physician orders bronchodilator protocol and asks you what other diagnostic tests should be evaluated. Previous Assessments: Vitals are HR 120 bpm, 28 breaths/min, BP 140/87, Temperature 37c and SpO2 83% while breathing room air. She is using accessory muscles to breathe and exhibiting chest retractions. Chest appears to have barrel shape Presence of clubbing with slight edema of extremities Cough is dry with non-productive cough Breathsounds auscultated with diminished bilateral wheezing Hyperresonant with chest percussion   Select as MANY as appropriate.

In the textbox, write your essay and complete all the gramma…

In the textbox, write your essay and complete all the grammar components. In week 3, you read the quote “The journey of a thousand miles begins with a single step” (Lao Tzu) and heard a former student say that her teacher motivated her by saying “The sky is your limit.” TOPIC: What are two ways in which these two quotes motivate YOU to succeed in THIS CLASS? Give specific examples.