1.       It is 5 months later and Angela presents for follow…

1.       It is 5 months later and Angela presents for follow-up.  Her mother reports she uses her quick relief inhaler multiple times throughout the day.  She wakes up 3 times per week to use her inhaler during the night.  How does the RCP respond?  Your answer should include:  is Angela is well controlled?  Do we need to change her therapy or not–and what are we changing it to? Are there any questions the RCP should ask?  Her original scenario was this:  a 7 y/o African-American female is brought into the emergency department complaining of shortness of breath.  While interviewing the patient, the mother informs the RCP her daughter has been awakened approximately two times per week due to her asthma symptoms.  Upon further questioning she mentions the school nurse called yesterday because Angela has been in her office for her quick relief medication everyday in the past week.  Her last FEV1/FVC ratio was 72%.

The hospital is extremely concerned about the possibility of…

The hospital is extremely concerned about the possibility of cross-contamination when therapists are caring for patients with transmissible diseases, and then also working in the NICU.  Therefore, they make assignments so a therapist will not have to give treatments to a child with a transmissible disease and then go work in the NICU.  Which disease processes would cause the greatest concern for a therapist to potentially transmit it to the NICU?

Morgan is a 7 year old who was involved in a MVC one week ag…

Morgan is a 7 year old who was involved in a MVC one week ago. She is currently intubated and being ventilated in the VC-CMV-CT mode. During a ventilator check the RT notes the following: Morgan’s SpO2 has dropped from 99% to 93%, she has paradoxical breathing and the high pressure limit is alarming. What action should the RT take FIRST?