Blog

A 55 y/o male is currently on BIPAP with an IPAP 14 cm H2O, EPAP 7 cm H2O and FiO2 of 60%. The patient is breathing at 34 breaths/min. Assessment of an arterial blood gas results are as noted:pH          7.32PaCO2    50 torrPaO2      32 torrHCO3     26 mEq/LWhat is an appropriate action?

A 26 GA newborn in the labor and delivery needs to be transported to the NICU. What should be used for the transport?

A pediatric patient in cardiopulmonary arrest post near drowning and resuscitation is indicated. What compression to ventilation ratio should be delivered with two rescuers?

What is an indication for using an Isolette (incubator)?I. Help mature of surfactantII. Control of environmental temperatureIII. Decrease external noise levelIV. Control of environmental humidity

An adult male patient intubated with a 7.0 ETT is on CMV with the following settings: HR – 130 bpm Mode – AC Rate – 30 breaths/min Rate – 14 breaths/min BP – 150/95 mmHg VT – 550 ml SpO2 – 97% PEEP – 8 cm H2O FIO2 – 0.60 The patient is exhibiting chest retractions and use of accessory muscle of inspiration. What should the respiratory practitioner recommend at this time?

A patient complaining of dyspnea and swollen extremities is in the ER has the following vitals and laboratory values: HR – 125 bpm Na – 145 mEq/L BUN – 45 mEq/L pH – 7.15 RR – 35 breaths/min K – 5 mEq/L Cr – 3.5 mEq/L PaCO2 – 30 torr BP – 145/90 mmHg Cl – 105 mEq/L PaO2 – 95 torr Temp – 37 c CO2 – 24 mEq/L HCO3 – 16 mEq/L What is likely the problem?

When a newborn needs to be transported via an air transport, which gas laws apply to oxygenation and ventilation?   I. Dalton’s Law II. Henry’s Law III. Charle’s Law IV. Boyle’s Law

A micro premie of 24 weeks of gestation was intubated and placed on mechanical ventilation. What is the best environment should this newborn be placed in the NICU?

A newborn baby boy has congenital diaphragmatic hernia (CDH). The patient needs to be transported to the nearest hospital with pediatric surgery 200 miles away. What mode of transportation is preferred at this distance?

You were called for a high risk delivery due to fetal HR decelerations. The neonate was delivered with 1 minute APGAR assessed with pink chest and slight acrocyanosis, pulse at 130 bpm, Strong grimace and crying, kicking and arms fully flexed and respirations at 45 breaths/min. What should be done next: