A 58-year-old patient with advanced emphysema is admitted wi…

A 58-year-old patient with advanced emphysema is admitted with an acute exacerbation of the condition. While breathing 2 L/min of oxygen through a transtracheal oxygen catheter, the patient has the following ABG results: pH, 7.38 PaCO2, 57 torr HCO3−, 31 mEq/L PaO2, 57 torr SaO2, 80%     Based on these findings, what should be done?

The respiratory therapist is called to evaluate Lady Galadri…

The respiratory therapist is called to evaluate Lady Galadriel, a patient known to have advanced emphysema. She is wearing a nasal cannula at 6 L/min. The nurse says that she has become drowsy and less responsive since the oxygen was given to her an hour ago. Her ABG results on the oxygen show the following: PaO2, 84 torr PaCO2, 65 torr pH, 7.32     Which of the following should be recommended? 1. Leave her on the cannula. 2. Change her to 24% O2 on an air entrainment mask and repeat the ABG in 20 minutes. 3. Change her to a simple oxygen mask and repeat the ABG in 20 minutes. 4. Let her rest undisturbed. 5. Monitor her closely for becoming more alert.

An uncooperative 13-year-old patient with status asthmaticus…

An uncooperative 13-year-old patient with status asthmaticus is being treated in the Emergency Department. The physician has ordered the patient to receive a 70% helium/30% oxygen mix and continuous nebulized albuterol. What should be recommended as the best way to deliver this?