A patient develops acute hypercapnic respiratory failure due…

A patient develops acute hypercapnic respiratory failure due to muscle fatigue. Which of the following modes of ventilatory support would you consider for this patient? I. assist-control ventilation with adequate backup II. continuous positive airway pressure III. synchronized intermittent mandatory ventilation with adequate backup rate IV. bilevel pressure support ( Bipap ) by mask   A. II and IV B. III and IV C. I, II, and III D. I, III, and IV

Prior Additional Diagnostic Assessment: AM ABG Analysis: pH…

Prior Additional Diagnostic Assessment: AM ABG Analysis: pH 7.27, PaCO2 65 mmHg, PaO2 63 mmHg, HCO3 30 mEq/L, +4 mEq/L BE Electrocardiogram: Sinus tachycardia CBC: Hb 19 g/dl, Hct, 52%, WBC 8,000 Electrolytes: Normal Chest radiograph: Light infiltrate bilaterally Urine output: 50 ml/Hr Recent assessment Breathsounds: Clear bilaterally PIP and Plateau pressures: 26 cm H2O, 20 cm H2O   Based on the above data, what should be done now? Choose only ONE

Assessment reveals: Positive color change in the colorimetr…

Assessment reveals: Positive color change in the colorimetric capnometer No positive pressure sounds in the stomach Unilateral chest rise to the right Absent breathsounds to the left Condensation present in the ETT   What should be done now?   Choose only ONE

The physician agrees and writes an order for antibiotic ther…

The physician agrees and writes an order for antibiotic therapy. The patient is on 0.50 FIO2 air-entrainment mask and receiving bronchodilator therapy every four hours. Four hours had past and you return to the patient’s room to give a bronchodilator treatment. The patient  is demonstrating SOB and is wheezing bilaterally on auscultation. What should be done now?   Select as MANY as indicated

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