A patient develops acute hypercapnic respiratory failure due…

A patient develops acute hypercapnic respiratory failure due to muscle fatigue. Which of the following modes of ventilatory support would you consider for this patient? I. assist-control ventilation with adequate backup II. continuous positive airway pressure III. synchronized intermittent mandatory ventilation with adequate backup rate IV. bilevel pressure support ( Bipap ) by mask   A. II and IV B. III and IV C. I, II, and III D. I, III, and IV

Which of the following is true of pulse oximetry? 1. An emit…

Which of the following is true of pulse oximetry? 1. An emitter puts out a wavelength of light specific to deoxygenated hemoglobin which is detected by a sensor 2. An emitter puts out a wavelength of light specific to oxygenated hemoglobin which is detected by a sensor 3.  Variance in light is used to detect volume changes which is displayed as a pulse 4. The pressure of oxygen (PO2) is measured, and then displayed as a percentage

Which of the following patients has the most serious problem…

Which of the following patients has the most serious problem with the adequacy of oxygenation? Patient FIO2 PaO2   A.         .70                  90 mm Hg B.         .40                  95 mm Hg C.         1.0                  85 mm Hg D.         0.28                65 mm Hg

Prior Additional Diagnostic Assessment: AM ABG Analysis: pH…

Prior Additional Diagnostic Assessment: AM ABG Analysis: pH 7.27, PaCO2 65 mmHg, PaO2 63 mmHg, HCO3 30 mEq/L, +4 mEq/L BE Electrocardiogram: Sinus tachycardia CBC: Hb 19 g/dl, Hct, 52%, WBC 8,000 Electrolytes: Normal Chest radiograph: Light infiltrate bilaterally Urine output: 50 ml/Hr Recent assessment Breathsounds: Clear bilaterally PIP and Plateau pressures: 26 cm H2O, 20 cm H2O   Based on the above data, what should be done now? Choose only ONE

Assessment reveals: Chest radiograph reveals flattened diap…

Assessment reveals: Chest radiograph reveals flattened diaphragm, hyperlucency with increase in intercostal space. Right cardiac silhouette is enlarged. ABG results on 2 lpm nasal cannula are pH 7.25, PaCO2 75  mmHg, PaO2 50 mmHg, HCO3 32 mEq/L. CBC: Hb 19 g/dl, Hct 57%, WBC 8,000 Lytes: Na 143, Cl 101, K 4.5, CO2 32 EKG: Sinus tachycardiaThe patient is still awake and alert and has a strong cough. What would you recommend now?Choose only ONE   

The set rate was increased to 15 breaths/min.   Four hours l…

The set rate was increased to 15 breaths/min.   Four hours later the patient’s nurse calls to tell you that the ventilator is alarming. You enter the room and the low pressure and low volume alarms are triggering. What should be assessed at this time?   Select as MANY as indicated