An 80 kg (176 lb) patient with ARDS is intubated and is rece…

An 80 kg (176 lb) patient with ARDS is intubated and is receiving mechanical ventilation with following settings: Mode  SIMV RR 10 Vt 700 ml PEEP 10 cm H20 FIO2 0.5 The respiratory therapist notes that the patient’s SpO2 has dropped from 98% to 85% over the past two hours.  The respiratory therapist notes the PIP has increased from 36 cm H20 to 46 cm H20 and the plateau pressure has increased from 28 cm H20 to 38 cm H20.  Which of the following should the respiratory therapist recommend?

A 70-kg (154 lb) male patient is receiving mechanical ventil…

A 70-kg (154 lb) male patient is receiving mechanical ventilation. The respiratory therapist notes the patient’s SpO2 drops from 97% to 86%.  The right lung is expanding more than the left, with clear breath sounds on the right but diminished breath sounds on the left.  The patient’s ETT is taped at the 29 cm mark at the lip. Which of the following should the respiratory therapist do at this time?

Which of the following is true of MDI administration? 1. A n…

Which of the following is true of MDI administration? 1. A new canister should be primed 2. The actuator should be washed out daily with acetic acid and warm water mix 3. The addition of a valved holding chamber will decrease the amount of inhaled medication 4. Only beta-agonist can be delivered via MDI

A 75-year-old, 5’5″ and 237 lb female patient is currently r…

A 75-year-old, 5’5″ and 237 lb female patient is currently receiving IPPB therapy.  Her set pressure is 15, flow rate 20  and sensitivity -1.  The respiratory therapist notes that the patient delivered Vt is 550 ml.  What adjustments should the respiratory therapist make?