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You initiate BIPAP on a patient with the following settings: IPAP 10 EPAP 5.30 mins later you obtain the following ABG.pH        7.32PaCO2   55PaO2      82HCO3     24What settings would you recommend?

What is the correct sequence when one is obtaining arterial blood from the radial artery of a patient? Perform modified Allen’s test Remove any air bubbles from the sample Apply direct pressure to the puncture site and palpate pulse Clean the puncture site with a suitable antiseptic solution Use a 23 gauge needle and a plastic syringe containing an anticoagulant

Which of the following indicators can be used to assess a patient’s readiness for decannulation? 1. Patient’s ability to speak 2. Patient’s ability to follow commands 3. Patient’s level of sensorium 4. Patient’s suctioning requirements 5. Patient’s ventilator dependency

Which of the following are goals and benefits of noninvasive ventilation in the acute care setting?   1.  Reduces need for endotracheal intubation   2.  Relieves symptoms of respiratory distress   3.  Reduces length of time on ventilator   4.  Shortens stay in the intensive care unit and hospital stay

To maintain positive end expiratory pressure (PEEP), high FiO2, and reduce risk of infection when suctioning an intubated mechanically ventilated patient, what would you recommend?

Interpret the following ABG:pH        7.54CO2      39.8PaO2    68.7HCO3   32.1 [BLANK-1]

Oxygen therapy supply methods in alternative settings include compressed O2 cylinders, Liquid O2 systems and Oxygen concentrators.

The terms CPAP and BIPAP are interchangeable.

Noninvasive ventilation cannot be utilized on critical care ventilators.

NIV is initiated on spontaneous mode with FiO2 0.40, IPAP 8 cm H20, and EPAP of 2cm H20.  ABGs reveal pH 7.29, PaCO2 54, PaO2 52, and HCO3 30.  The respiratory therapist should recommend what change to address the carbon dioxide levels?