To optimize the aerosol deposition during bronchodilator therapy with an MDI, a respiratory therapist should instruct a patient in which of the following breathing patterns Inspiratory flow Inspiratory volume End-inspiratory-hold I Slow Maximal Yes II Slow Tidal volume No III Rapid Tidal volume Yes IV Rapid Maximal No
Pulmonary function data below were obtained for a 65 year ol…
Pulmonary function data below were obtained for a 65 year old man who complains of shortness of breath: Actual Percent PredictedFVC 3.9 L 85% FEV1 2.4 L 68%FEV1/FVC 62%FEF 25-75 1.2 L/sec 35%These data are most consistent with which of the following clinical conditions?
A patient is receiving mechanical ventilation. The following…
A patient is receiving mechanical ventilation. The following arterial blood gas results are reported on an FIO2 of 0.60:pH 7.40PaCO2 41 torrPaO2 47 torrHCO3 25 mEq/LBE +1 mEq/LThe respiratory therapist should first recommend which of the following?
Following abdominal surgery, a 26 year old man is receiving…
Following abdominal surgery, a 26 year old man is receiving volume controlled ventilation in the assist/control mode with a mandatory rate of 10/min. When monitoring the ventilator, the respiratory therapist notes the total respiratory rate is 30/min and there is no detectable patient effort during all breaths. The therapist should do which of the following?
An intubated patient is receiving volume controlled ventilat…
An intubated patient is receiving volume controlled ventilation. A respiratory therapist finds a leak around the endotracheal tube cuff associated with a large volume loss. The therapist should do which of the following?
Which of the following ECG leads should be placed in the lef…
Which of the following ECG leads should be placed in the left midclavicular line?
Following an MI, a 60 y/o patient with CHF is receiving mech…
Following an MI, a 60 y/o patient with CHF is receiving mechanical ventilation. The patients BP is 85/56 mmHg. Ventilator settings are as follows:FIO2 0.60Mandatory rate 10/minTidal volume 650 mlPEEP 10 cmH2O SpO2 is 80%, which of the following should the respiratory therapist recommend first?
A 70 kg (154 lb) patient with ARDS is receiving volume-contr…
A 70 kg (154 lb) patient with ARDS is receiving volume-controlled ventilation. The ventilator settings are as follows:Mode ACFIO2 0.60Mandatory Rate 12Total Rate 12VT 680 mlPEEP 10 cm H2OInspiratory flow 40 LPMInspiratory Pause 1.5 secInspiratory pattern Square waveThe respiratory therapist should do which of the following to minimize auto-PEEP?
A patient is receiving mechanical ventilation following abdo…
A patient is receiving mechanical ventilation following abdominal surgery. Weaning attempts have been unsuccessful due to muscle weakness. Which of the following tests would be most helpful in determining the cause of the weakness.
While monitoring a patient recieving mechanical ventilation,…
While monitoring a patient recieving mechanical ventilation, the respiratory therapist notes the following:Exhaled VT 700 mlPIP 40 cm H2OHigh pressure limit 80 cm H2OLow pressure limit 35 cm H2OLow VT alarm 600 mlHigh frequency alarm 35 breaths/minThe therapist should decrease the: