A patient is on ventilatory support for COPD exacerbation. The following PIP and plateau pressure trending is available: Time 1800 2000 2200 PIP 28 34 40 Plateau 25 26 27 What should the practitioner do first?

The respiratory therapist wants to increase the minute volume for a patient receiving CMV with a on pressure control ventilation (PCV).  Which controls could help accomplish this?  I. Tidal Volume II. Rate III. Flowrate IV. Pressure Limit

A patient has the following blood gas results:   pH – 7.34 FIO2 – 35% PaCO2 – 40 torr Respiratory rate – 32 breaths/min PaO2 – 75 torr HR – 110 bpm HCO3 – 29 mEq/L BP 145/85 mmHg BE – +4 SpO2 – 91% Hb – 13g/dl PETCO2 – 27 torr   What is the patient’s VD/VT?

A patient has a swan ganz catheter in place with the following parameters:   CVP – 1.5 mmHg PAP – 15 mmHg PCWP – 4 mmHg BP – 90/50   These results are most consistent with:

On pressure control ventilation, a patient with ARDS will be allowed with permissive hypercarbia at to prevent barotrauma by keeping PaCO2:

When checking the cuff pressure of an intubated patient’s ETT, the cuff pressure manometer shows 18 mmHg. An audible gurgling sound is coming from the patient’s upper airway. What should the practitioner do?  

A patient is currently on CMV with the following ventilator settings   Mode – SIMV/CV Total rate – 20 breaths/min Set Rate – 12 breaths/min VE – 7 lpm Set VT – 400 ml PIP – 25 cm H2O PEEP – +5 cm H2O FIO2 – 45% PSV – 6 cm H2O   What kind of breaths are observed here?

Increasing positive end-expiratory pressure (PEEP) could lead to these risks:   I. Increase in cardiac output II. Decrease in venous return III. Decrease in stroke volume IV. Increase in intracranial pressure (ICP)

What is the normal endotracheal suction pressure for an adult patient?

A patient is on ventilatory support for Status asthmaticus. The following PIP and plateau pressure trending is available: Time 0800 1000 1200 PIP 25 30 40 Plateau 20 20 21 Auscultation reveals wheezing bilaterally. What should the practitioner do first?