What is the genre (type) of this selection?
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The AGNP is seeing a patient who has 30-pack-year smoking hi…
The AGNP is seeing a patient who has 30-pack-year smoking history. He reports a chronic cough with frequent sputum production, essentially daily, especially in the winter months, from October to March. Symptoms started when he was around 50 years old; he is now 54. Which of the following diagnoses does the NP suspect?
A 79-year-old female with a history of rheumatoid arthritis…
A 79-year-old female with a history of rheumatoid arthritis and a hip replacement surgery 4 months ago presents to the FNP’s office with a 2-day history of pain and swelling in the left thigh and calf. The FNP would do which of the following?
Laws that require that certain dangerous defendants be conf…
Laws that require that certain dangerous defendants be confined before trial for their own protection and that of the community are called:
Premature infants are at risk for respiratory distress syndr…
Premature infants are at risk for respiratory distress syndrome, which involves the formation of ___________ in the ___________.
Assessing the outcome of PEEP at levels set above 15–20 cm H…
Assessing the outcome of PEEP at levels set above 15–20 cm H2O is best done using which of the following?
A 190-lb (86-kg), 68-year-old man (IBW = 80 kg) is admitted…
A 190-lb (86-kg), 68-year-old man (IBW = 80 kg) is admitted to the hospital. He is placed on mechanical ventilation for acute respiratory failure compounded by metabolic acidosis. It is determined that he has a renal disorder. The physician orders peritoneal dialysis. In the interim, the physician asks the respiratory therapist to target a pH of 7.35 with assisted ventilation. Initial assessment of the patient resulted in the following ABG: pH = 7.22, PaCO2 = 38 mm Hg, HCO3− = 15 mEq/L, PaO2 = 98 mm Hg on FIO2 = 0.25.The ventilator settings are VC-CMV, f = 24 breaths/min, VT = 600 mL, FIO2 = 0.25.ABG results on this new setting are pH = 7.37, PaCO2 mm Hg = 23, HCO3− = 13.5 mEq/L, PaO2 = 115 mm Hg. A flow-time graphic shows the following: What is the problem, and what would you suggest to correct this problem and still help the patient?
When PaCO2 is elevated (>45 mm Hg) and pH is decreased (
When PaCO2 is elevated (>45 mm Hg) and pH is decreased (
A patient with ARDS has the slow pressure–volume loop shown…
A patient with ARDS has the slow pressure–volume loop shown below. Based on this loop, at what level should PEEP be set?
What is the optimal PEEP level given the following informati…
What is the optimal PEEP level given the following information? Time 0700 0710 0720 0735 0740 0755 PEEP 0 5 8 10 12 15 P(a-et)CO2 11 10 6 13 15 15 Compliance 26 28 34 30 27 25 BP 138/90 128/93 120/86 100/70 100/70 105/75