A patient who was admitted due to and M.I is now showing SOB…

A patient who was admitted due to and M.I is now showing SOB, auscultation reveals fine inspiratory crackles with expiratory wheezes. Assessment of morning CXR shows cardiomegaly and engorgement of pulmonary vasculature. Two back to back bronchodilator therapy was given but SOB and wheezes persist. What is the next appropriate therapy?

A 14 y/o lethargic patient on 10 lpm simple O2 mask is in th…

A 14 y/o lethargic patient on 10 lpm simple O2 mask is in the emergency department with status asthmaticus. Current assessment are as follows: HR – 140 bpm pH – 7.23 RR – 18 breaths/min PaCO2 – 65 torr SpO2 – 88% PaO2 – 55 torr Breathsounds – Faint wheezes HCO3 – 25 mEq/L Chest rise – Minimal BE – 1 mEq/L What should the respiratory care practitioner recommend at this time?

A rapid response was called in the PICU as you arrive at the…

A rapid response was called in the PICU as you arrive at the scene the patient is not responsive, not breathing but has a faint pulse. You begin manually ventilating with 100% FIO2. You palpate no pulse via carotid artery and observe the ECG pattern:What would you suggest at this time?