A patient in the cardiac ICU is intubated and is receiving mechanical ventilation with 40% O2 and a PEEP of 5 cm H20.  The following data is collected: pH 7.41 PaCO2 37 torr Pa02 81 torr HCO3 23 mEq/L BE -2 C(a-v)02 8.1 vol% PCWP 4 mm Hg The respiratory therapist should recommend which of the following?

The respiratory therapist is using a 12-French suction catheter to suction a female patient who is intubated with a 7.0 mm ETT and is having difficulty removing the thick secretions.  The suction pressure used is -120 mm Hg.  Which of the following should be recommend to correct this problem?

Suppose your payroll check is directly deposited to your checking account. Everything else held constant, total reserves in the banking system ________ and the monetary base ________.

Part II: REQUIRED Monetary Aggregate Problem @ 20 points. Show all work for credit and carry all fractions to at least five decimal places. Work must be legible for credit. Select yes if you understand the instructions, and continue the exam.

The following ECG is observed: What should the respiratory therapist recommend?

A patient recovering postoperatively is receiving ventilation in the SIMV mode.  The patient has normal ABG levels with the use of 35% O2 but is still drowsy.  The respiratory therapist should recommend decreasing which of the following?

The following rhythm is observed prior to deep suctioning an adult patient: After suctioning the patient, the following rhythm is observed:   What is most likely the cause of the change?

Since 1980

A patient has been paralyzed with vecuronium (Nocuron) and is receiving mechanical ventilation.  Which of the following ventilator monitoring alarms would be the most important?

A 60-kg (132 lb), 52-year-old man is admitted to the ICU for the treatment of refractory hypoxemia.  He is currently on volume controlled ventilation and pressure support of 10 cm H20 with an FIO2 of 0.60.  Other information listed below: VITALS HR 120 RR 26 Spontaneous Vt 400 ml ABG pH 7.49 PCO2 30 torr P02 58 torr Which of the following should the respiratory therapist recommend?