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While staffing in the PICU the first year resident calls the RT and says heliox is needed STAT!  The resident hangs up without saying which room.  Which of the following patients would likely benefit from heliox administration?

In order to be confident that you treatment caused an observed effect, you must establish that the study has __________.

Identify what the following ultrasound picture on the left is showing (picture on the right is often seen at the same time): 

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 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?

Match the lung volume with the corresponding letter on the following picture. 

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?

How should the therapist interpret the flow-volume loop seen here, obtained from a mechanically ventilated child?

The paramedics arrive in the ED with this report: Taylor is a 28 month old who was found unconscious near an empty bottle of prescription pills. Vital Signs: HR 145 bpm, spontaneous RR 10 bpm, BP 95/60, the child is unresponsive and has R antecubital IV placement. The charge nurse has called poison control and reports that they recommend activated charcoal followed by gastric lavage. What should the RCP recommend prior to gastric lavage?

A 12 year old male arrives in the emergency department complaining of chest tightness and wheezing. His mother complains that the current medications are not working to control his moderate persistent asthma. He currently takes his albuterol inhaler 2 puffs, two times per day and takes budesonide as needed. What is the most appropriate action to take at this time?