The patient must be instructed on how to use an MDI with a s…

The patient must be instructed on how to use an MDI with a spacer. The patient lives by herself and only speaks her native language. What are the best ways to instruct her prior to discharge?I. Give a written step by step instruction II. Demonstrate in the appropriate orderIII. Tell them the instructions very slowly so that they may understand.IV. Give step by step instructional illustrations if available

A patient with COPD is in the hospital and currently on oxyg…

A patient with COPD is in the hospital and currently on oxygen on 2L NC with a saturation of 92% . The patient was taken off of oxygen and SpO2 is 89% with a PaO2 of 59 mmHg at rest. The patient was ambulated by physical therapy and saturation did not change. How would this effect reimbursment of oxygen  for this patient?

A 60 Kg patient is currently on CMV with ARDS on the followi…

A 60 Kg patient is currently on CMV with ARDS on the following ventilator settings and ABG parameters:Mode     AC                   pH            7.25Rate      14                     PaCO2         65 mmHgVT             350 ml              PaO2             78 mmHgFIO2         0.85                  BE            +1PEEP    10 cmH2OPIP       45 cm H2OWhat should be done at this time?

Before discharge, the physician wants you to educate the pat…

Before discharge, the physician wants you to educate the patient with seasonal asthma (who has no medical background) on using albuterol PRN. Which of the following are appropriate statements?I. Use this medication only when you start having trouble breathingII. This medication will help loosen secretionsIII. This medication will make it easier for you to breathe when your chest feels tightIV. Use this as often as possible as a maintenance to stimulate the beta 2 receptor