A patient is receiving continuous mechanical ventilation fol…

A patient is receiving continuous mechanical ventilation following an MVA.  Upon entering the room, the respiratory therapist notes the following:HR 123 bpmSpO2 76%BP 78/49Patient is diaphoretic and ashenWhat should be the first action the respiratory therapist takes?

One hour after initiating mechanical ventilaiton VC-CMV, the…

One hour after initiating mechanical ventilaiton VC-CMV, the repiratory therapist notes the patient’s PIP has changed from 45 cmH2O to 60 cmH2O and the plateau pressure has changed from 35 cmH2O to 38 cmH2O.  Which of the following should the therapist recommned?

A postoperative patient complaining of dyspnea is found to h…

A postoperative patient complaining of dyspnea is found to have tachypnea and tachycardia, and is somewhat confused. Breath sounds reveal end inspiratory crackles in both lung bases. An arterial blood gas (ABG) is drawn and reveals the following: pH 7.48; PaCO2 30 mm Hg; PaO2 51 mm Hg; SaO2 87%; HCO3- 22 mEq/L while on a 30% air entrainment mask. The most appropriate respiratory therapy intervention includes which of the following?

A patient is receiving continuous mechanical ventilation via…

A patient is receiving continuous mechanical ventilation via the Siemens 300A.  Settings and parameters are as follows: Mode PRVCVT   700 mLRR  14FiO2  0.65Pb  700 mmHgCuff pressure 29 mmHg pH    7.36PaCO2 42 torr HCO3-  22 mEq/LPaO2 95 torrSaO2   96% What if anything should be done regarding the cuff pressure (be specific)?

A patient is receiving continuous mechanical ventilation via…

A patient is receiving continuous mechanical ventilation via the Servo-I Universal ventilator.  Settings and parameters are as follows: Mode PRVC VT  700 mLRR  14     FiO2  0.65     Pb  760 mmHg Cuff pressure 30 mmHg pH  7.36PaCO2  42 torr HCO3-   22 mEq/LPaO2  95 torrSaO2    96% Which of the following is recommeded?

A mechanically ventilated patient is going to be placed on p…

A mechanically ventilated patient is going to be placed on pressure support ventilation following an acceptable spontaneous weaning trial. The patient is a 5’9″ male who weighs 185 lb. During volume-controlled continuous mandatory ventilation (VC-CMV) his average peak inspiratory pressure (PIP) was about 26 cm H2O and the plateau pressure (PPlateau) was 11 cm H2O. What initial pressure support level should be set?