A 58-year-old female was diagnosed with bronchiectasis 3 yea…

A 58-year-old female was diagnosed with bronchiectasis 3 years ago.  She reports increased cough and difficulty clearing secretions for the past 4 weeks.  A chest radiograph shows no significant changes.  Which of the following is indicated for the respiratory therapist recommend FIRST?

A respiratory therapist is caring for a patient who has ARDS…

A respiratory therapist is caring for a patient who has ARDS.  Blood pressure is 80/50 mm Hg maxed out on vasopressin.  The patient is receiving PC, A/C ventilation with the following settings:   FIO2      .85  Mandatory rate    25 PIP   28 cm H2O  PEEP    15 cm H2O    ABG analysis shows the following:   pH       7.34 PCO2     49 mm Hg  PO2     50 mm Hg  HCO3-     25 mEq/L  BE      -1 mEq/L  SO2 (calc)     85%    Which of the following should the therapist do?  

A respiratory therapist is caring for a patient who has ARDS…

A respiratory therapist is caring for a patient who has ARDS.  Blood pressure is 90/60 mm Hg.  The patient is receiving PC, A/C ventilation with the following settings:   FIO2      1.0  Mandatory rate    14  PIP   30 cm H2O  PEEP    18 cm H2O    ABG analysis shows the following:   pH       7.36  PCO2     44 mm Hg  PO2     50 mm Hg  HCO3-     25 mEq/L  BE      -1 mEq/L  SO2 (calc)     85%    A chest radiograph shows bilateral lower lobe infiltrates.  Which of the following should the therapist do?  

A patient in the ICU is being ventilated with AC/VC, VT 500,…

A patient in the ICU is being ventilated with AC/VC, VT 500, FIO2 100 and peep 15. A resident has ordered a procedure that involves disconnecting from the vent and placing saline down the airway to obtain a sample from the lung. Which of the following is the most appropriate action?

A 27-year-old patient with an unstable T-1 spinal cord injur…

A 27-year-old patient with an unstable T-1 spinal cord injury has been admitted for treatment of bronchitis. A bedside assessment is performed and it is found that the patient cannot cough out the secretions. Bedside spirometry reveals the patient has a peak flow of 200 L/min (3.3 L/s). Which of the following treatment is indicated?