A patient is receiving mechanical ventilation due to ARDS. …

A patient is receiving mechanical ventilation due to ARDS.  Settings and parameters are as follows? Mode pressure controlPIP  30 cmH2OFiO2  75%RR   22  PEEP 15 cmH2O pH  7.35PaCO2  45 torrHCO3-   25 mEq/LPaO2  58 torrSaO2    81% What is the most appropriate recommendation at this time?

A patient is receiving continuous mechanical ventilation via…

A patient is receiving continuous mechanical ventilation via the Servo-I Universal ventilator.  Settings and parameters are as follows: Mode PRVC VT  700 mLRR  14     FiO2  0.65     Pb  700 mmHg Cuff pressure 26 mmHg pH  7.36PaCO2  42 torr HCO3-   22 mEq/LPaO2  95 torrSaO2    96% Calculate the A-a gradient.

A patient is receiving continuous mechanical ventilation fol…

A patient is receiving continuous mechanical ventilation following an MVA.  Upon entering the room, the respiratory therapist notes the following:HR 123 bpmSpO2 76%BP 78/49Patient is diaphoretic and ashenWhat should be the first action the respiratory therapist takes?

One hour after initiating mechanical ventilaiton VC-CMV, the…

One hour after initiating mechanical ventilaiton VC-CMV, the repiratory therapist notes the patient’s PIP has changed from 45 cmH2O to 60 cmH2O and the plateau pressure has changed from 35 cmH2O to 38 cmH2O.  Which of the following should the therapist recommned?

A postoperative patient complaining of dyspnea is found to h…

A postoperative patient complaining of dyspnea is found to have tachypnea and tachycardia, and is somewhat confused. Breath sounds reveal end inspiratory crackles in both lung bases. An arterial blood gas (ABG) is drawn and reveals the following: pH 7.48; PaCO2 30 mm Hg; PaO2 51 mm Hg; SaO2 87%; HCO3- 22 mEq/L while on a 30% air entrainment mask. The most appropriate respiratory therapy intervention includes which of the following?