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List five (5) of the relevant factors that the user and Phase II assessor must consult with each other to help define the scope and objective of a Phase II as presented in the ASCE webinar.  

You are assigned to be the Environmental Professional (EP) for an active industrial manufacturing complex. You are about to conduct the site visit of the property. List three (3) interior and seven (7) exterior observations you should be looking for to help identify any current uses likely to involve the use, treatment, storage, disposal, or generation of hazardous substances or petroleum products or to identify releases or material threat of future releases of hazardous substances or petroleum products to the environment.

Calculate the P(A-a)02:

A 71-year-old patient is currently on the following settings: BIPAP: 10/5, RR 18 and FIO2 45%   His ABG reveals the following: pH 7.31 PaCO2  49 Pa02 81 HCO3 24 Sa02 95 What should the respiratory therapist recommend?

A barely arousable 63-year-old female arrives in the ER via EMS.  Her daughter reports that she takes hydrocodone PRN at home.  Her room air ABG reveals the following: ABG pH 7.27 PaCO2 61 PaO2 62 HCO3 25 Sa02 91%   Which of the following should the respiratory therapist recommend? 1. Flumazenil (Romazicon) 2. Naloxone (Narcan) 3. CPAP 4. BIPAP

What should the respiratory therapist recommend? 1. Duoneb Q4 2. Continuous nebulizer treatment with 10 mg albuterol and 1 mg atrovent 3. BIPAP: 15/5, RR 12 and 50% 4. Intubation and mechanical ventilation

What is the main advantage of NIV/NPPV  compared to invasive mechanical ventiltion?

Calculate the P/F ratio:

An 81-year-old male patient has been ventilated on the following settings for one hour: BIPAP: 20/8, RR 20 and 100%   His ABG reveals the following: ABG pH 7.19 PaCO2 86 PaO2 62 HCO3 25 Sa02 89%   Which of the following should the respiratory therapist recommend?

A 71-year-old female presents to the ER with SOB.  Her room air ABG reveals the following: ABG pH 7.36 PaCO2 65 PaO2 44 HCO3 32 Sa02 81% What should the respiratory therapist recommend?