A 70 kg (154 lb) patient with emphysema receives mechanical…

A 70 kg (154 lb) patient with emphysema receives mechanical ventilation. Current ventilator settings are as follows: SIMV VC, Vt 550 mL, RR 12/min, FiO2 30%. The patient is awake and alert and does not appear to be in any distress. The total RR is 14/min. ABG results are: pH 7.35, PaCO2 58, PaO2 65, HCO3- 30. His SpO2 is 94% and MIP is -30 cmH2O. This patient is most likely:

The respiratory therapist prepares to assist with the intuba…

The respiratory therapist prepares to assist with the intubation of an adult male patient. The anesthesiologist resident wishes to administer a neuromuscular blocker that has a fast onset and short duration. Which of the following should the therapist recommend? 

A patient with a history of asthma presents to the ED in sev…

A patient with a history of asthma presents to the ED in severe respiratory distress with increased accessory muscle use. Vital signs are: HR 110/min, RR 32/min, and SpO2 of 88% on room air. Bilateral expiratory wheezes are heard on auscultation. The respiratory therapist should recommend initiating:

A 50 kg (110 lb) patient is mechanically ventilated with the…

A 50 kg (110 lb) patient is mechanically ventilated with the following settings: A/C VC, VT 400 mL, RR 14/min, PEEP 10 cmH2O, and FiO2 of 60%. The chest x-ray demonstrates diffuse bilateral radiopacitiy. ABG results are: pH 7.36, PaCO2 47, PaO2 50, HCO3- 26. The respiratory therapist should increase the: