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A 50-kg (110-pound) 30-year-old female patient has myasthenia gravis. Bedside spirometry has found her VC to be 700 mL and NIF –14 cm H2O. Vital signs show a respiratory rate of 38 breaths/min, a heart rate of 140/minute, and blood pressure of 130/90 mm Hg. What should the respiratory therapist recommend?    

Which of the following is a critical value for the key clinical indicators in hypercapnic respiratory failure in an adult?   pH RR MIP VC a. 7.35 20 -45 cmH2O 30ml/kg b. 7.32 22 -30 cmH2O 28ml/kg c.   7.25 35 -23 cmH2O 18ml/kg d. 7.46 18 -55 cmH2O  34 ml/kg  

The major pathologic or structural changes of the lungs associated with myasthenic crisis include:

Which of the following are clinical manifestations of chronic bronchitis?   a. Cor pulmonale Digital clubbing Tactile fremitus Purse-lip breathing b. Left heart failure Polycythemia Hyperressont percussion note  Tactile fremitus c. Cor pulmonale Stocky Chronic ventilatory failure Digital clubbing d. Purulent spumtum  Tactile fremitus Polycythemia Thin built

Patient is following up with his pulmonologist after a polysomnography. Patient had 97 episodes of OSA and 15 episodes of central sleep apnea with SpO2 dropping to an average of 72% during the apnea episodes. Physician asks the therapist for a recommendation. What would be the best recommendation

Your patient has an elevated white blood cell (WBC) count but no signs or symptoms of infection. She uses albuterol, ipratropium, and salmeterol and is currently taking a glucocorticoid. What is the most likely cause of her elevated WBC count?

A COPD patient is being discharged and the doctor wants to prescribe a controller-type bronchodilator for home use. Which of the following medications would you recommend?

The following are diagnostic tests and procedures for pulmonary hypertension except:

 Which of the following clinical manifestations is found in ARDS?    CVP PCWP Cyanosis Intercostal retractions a. Increased Decreased No No b. Decreased Normal/Increased Yes No c. Increased Normal/Decreased Yes Yes d.  Decreased Increased No No  

A patient calls for a prn treatment. Upon entering the patient is sitting on the edge of the bed, leaning on his side table with his forearms. You notice purse lip breathing and the patient’s RR 28, HR 110, Spo2 96% on 3 lpm nasal cannula. Upon auscultation you hear diminished breath sounds throughout. What would you expect his admitting diagnosis is after your assessment?