A 64 year old 60 kg (132 lb) patient with COPD is receiving…

A 64 year old 60 kg (132 lb) patient with COPD is receiving mechanical ventilation. Current ventilatory settings, waveform and arterial blood gas results are as follows: Settings Parameters ABG Mode – AC Total rate – 15 pH – 7.29 Rate – 10 Ex.VT – 550 ml PaCO2 – 63 torr Set VT – 600 ml VE – 8.25 L/min PaO2 – 58 torr PEEP – 0 cm H2O PIP – 25 cm H2O HCO3 – 29 mEq/L FIO2 – 0.35 I:E – 1:6.2 BE – +5 mEq/L PIF – 60 lpm     On auscultation the patient is wheezing bilaterally and SpO2 at 90 %. Which of the following should the respiratory therapist do?

A 2 y/o boy was brought in by his mom that her son is exhibi…

A 2 y/o boy was brought in by his mom that her son is exhibiting SOB with coughing. She stated that he was just playing in his room when he started to exhibit symptoms. Current vitals are as follows: Pulse rate – 110 bpm RR – 35 breaths/min SpO2 – 91% Temp. – 37 degrees celsius Breathsounds – Stridor What should the respiratory therapist suspect?