When setting up the Vapotherm you notice the green LED light and the temperature display continues to flash, this means 

Which condition may result from excessive PEEP like affects in the lungs when using Vapotherm (HFNC)

Indications for Vapotherm (HFNC) include all of the following except;

A patient is being ventilated with CMV(Assist Control-Volume)mode, rate of 12/min, VT 600ml, fi02 0.60, PEEP 8 cmH20, The peak flowrate is 60 lpm with decelerating waveform. Ventilator Parameters: PIP 38 cmH20, total RR 24/min, I:E 1:0.8, Ve 16.8 L, air trapping is noted. Patient Assessment:  Patient is calm, no distress noted. Abg’s: pH 7.47, paC02 28 torr, pa02 100 torr,   HC03 22 meq/L, B.E. -4. Which of the following would you recommend?

An RT is called to the ICU to assess a patient whose ventilator low pressure alarm is sounding.  The volume display shows exhaled tidal volumes varying from breath to breath. SIMV mode, Rate of 12/minute, VT 400 ml,  Fi02 0.40. The patient has no spontaneous effort.  After manual ventilation is initiated, the therapist should:

According to the Presentation Skills PowerPoint, which statements about Visuals are TRUE.  Choose all that apply.

Do you need to change the patient’s dosing regimen why or why not?   If changing what would a new regimen be? Remember to explain your answer.  

Enter (A) for True or (B) for False:  Helium is a great gas for aerosolizing albuterol.

A patient on a high flow nasal cannula is on a flowrate of 35L/min and an fi02 of 1.0.  The sp02 is 88%.  What changes do you recommend?

A 30 week gestational age neonate is currently on the following settings:  Jet Ventilation with a rate of 420/min (7 Hz), I-time .02 seconds, PIP 22cmH20, conventional ventilation setting of SIMV 20/min, fi02 .30, PEEP 5cmH20.  CXR shows atelectasis of the right lung along with a broncho pleural fistula.  A chest tube is in place.  ABG’s reveal pH 7.21, paC02 70 mmHg, pa02 60 mmHg, HC03- 24meq/L.  Which of the following changes would you recommend?           I.       Decrease rate to 360 to allow more time for exhalation           II.      Increase backup SIMV rate to 24/min           III.     Decrease backup SIMV rate to 4/min           IV.     Increase PEEP to 8 cmH20            V.  Increase the amplitude to 24 cmH20