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A patient receiving mechanical ventilation has a history of renal failure and diabetes.  The patients IBW is 65 kg.  Fluid status: 4800ml input and 2700 ml output.  Breath sounds reveal rates ½ way up on both sides.  Vent settings are AC/VC mode, rate of 10/min, VT 520ml, fi02 0.40.  PEEP 5 cmH20.  Total RR is 37/min and sp02 97%, PIP is 27 cmH20.  Abg’s:  pH 7.31, paC02 22 torr, pa02 82 torr, HC03 14, Base deficit -9.  Which of the following would you recommend? I.  Increase the set rate to 16/min Recommend diuresis/dialysis Recommend administration of NAHC03 Decrease tidal volume to 450 ml Switch the patient to PRVC

An RT is called to the ICU to assess a patient whose ventilator low pressure alarm is sounding.  The volume display shows exhaled tidal volumes varying from breath to breath. SIMV mode, Rate of 12/minute, VT 400 ml,  Fi02 0.40. The patient has no spontaneous effort.  After manual ventilation is initiated, the therapist should:

According to the Presentation Skills PowerPoint, what is pausing and why should the speaker pause during their presentation?  Choose all that apply.

What is this patient’s dosing body weight in kilograms? (Round to the nearest hundredth, except no trailing zeros)    [wt] kg

According to the Presentation Skills PowerPoint, which is NOT an example of how to get the audience’s attention?

According to the Presentation Skills PowerPoint, which statements about Visuals are TRUE.  Choose all that apply.

A patient is intubated in the ICU for airway management post intracranial hemorrhage.    Ventilator settings are PRVC rate of 18/min, VT 600ml, fi02 .30, PEEP 5 cmH20.  The patient’s IBW is 75 kg.   ΔP is 22 cmH20.   Abg’s on these settings:  sp02 97%, pH 7.58, paC02 22torr, pa02 90 torr, HC03 22 meq/L, Base Excess -2.  What changes would you recommend, if any?

Read p.172-173, Presentation Strategies, in your Textbook.  Then answer the question. If you present on a topic you care about, the audience will be more interested in your presentation.  True or False.

Which of the following strategies are utilized to ventilate a patient with ARDS:    Allow for prolonged exhalation.   Use tidal volumes of 6 – 8 ml’s/kg IBW.   Allow permissive hypercapnea to reduce barotrauma.   Ventilate with tidal volumes of 4 – 6 ml’s/kg of IBW.

Enter (A) for True or (B) for False:  Helium is a great gas for aerosolizing albuterol.