The physician agrees with CPAP +5 cm H2O, PSV +6 cm H2O and FIO2 0.40 and writes the order.   What ventilator parameters should be checked during SBT?   Selects as MANY as indicated

You are a respiratory therapist working in a county hospital in the medical intensive care unit. You will be taking care of a 30 y/o 5’5″ female intubated on mechanical ventilation due to respiratory failure secondary to status asthmaticus. Sh has been on ventilatory support for the past 2 days. What should you check on the medical chart prior to seeing the patient?   Select as MANY as indicated

Patient is 5’5″ tall with stable vital signs with the following SBT parameters.   Respiratory rate: 20 breaths/min, Tidal volume: 350 ml, Minute volume: 7L, RSBI: 57 MIP: -35 cm H2O, VC 1200 ml   The patient’s physician is asking for your recommendation at this time. What would you recommend?   Select only ONE

Ventilator settings: AC/VC Rate 14, VT 500 ml, PEEP +5 cm H2O, FIO2 0.80 Total Rate: 18 breaths/min, Exhaled VT: 510 ml, VE: 9.18 L/min PIP: 30 cm H2O, Plateau pressure: 24 cm H2O, MAP: 10 cm H2O   What other assessments should be done after checking the ventilator parameters?   Selects as MANY as indicated    

Based on your following assessments: Ventilator orders: AC/VC Rate 14, VT 500 ml, PEEP +5 cm H2O, FIO2 1.0 Respiratory orders: Inline Duo-Neb treatment Q4 & PRN, Titrate FIO2 >94% SpO2 ABG analysis: pH 7.37, PaCO2 38 mmHg, PaO2 430 mmHg, HCO3 25 mEq/L on FIO2                               0.80 Chest radiograph: Clear bilaterally, ETT 3 cm above carina, Diaphragm at T9 CBC and electrolytes: Normal   Ventilator Parameters Ventilator settings: AC/VC Rate 14, VT 500 ml, PEEP +5 cm H2O, FIO2 0.80 Total Rate: 18 breaths/min, Exhaled VT: 510 ml, VE: 9.18 L/min PIP: 30 cm H2O, Plateau pressure: 25 cm H2O, MAP: 10 cm H2O   Patient Assessment Vital Signs: HR 85 bpm, BP 125/80 mmHg, SpO2 100% RASS: -1 currently on sedation Breathsounds: Clear bilaterally with good aeration Work of breathing: Bilateral chest rise with no chest retractions Airway size & placement: 7.5 21cm @ teeth   What should you do at this time?   Select as MANY as indicated    

After decreasing the FIO2 to 0.50 and providing inline Duo-Neb treatment, What should be assessed now?   Select as MANY as indicated

If an animal dies at home, you should _____________.

In team building it is recommended to ________________.

A(n) ______________ is a permanent account of the interaction and services rendered to a client and provides accurate information.

Which physiological function should be lost first to minimize distress to the animal when undergoing euthanasia?