A 60 kg patient has been intubated following admission for a drug overdose. He continues to be unresponsive to stimuli. He is on the following settings with an ABG as shown here:Mode: PC-AC FiO2: 0.40 Mandatory Rate: 12 bpm Total Rate: 12 bpm Mandatory Vt: 450 mL Pinsp (delta P): 13 cmH2O PEEP: 5 cmH2O Insp Time: 0.9 sec ABG: pH 7.30/ PaCO2 52/ PaO2 106/ HCO3 22 The physician asks for your input on strategies to reduce the PaCO2. Which of the following would be an appropriate recommendation for this patient?
You obtain the following ABG 30 minutes after intubating a 5…
You obtain the following ABG 30 minutes after intubating a 54 yo patient with pneumonia in the RML and RLL. pH 7.36, PaCO2 57 mmHg, PaO2 95 mmHg, HCO3 33 mEq/L.Ventilator settings are: Mode: VC-SIMV Set rate 12 bpm Total rate 12 bpm Vt 550 mL (7 mL/Kg) PEEP: 5 cmH2O FiO2: 50% PS: 5 cmH2O Peak flow: 60 Lpm Based on this information the most appropriate action for this patient would be which of the following?
The RT is preparing to convert a patient from volume control…
The RT is preparing to convert a patient from volume control to pressure control ventilation on a PB 840 ventilator. While in VC, the RT obtains the following values: Vt 650 mL Flow 50 Lpm PIP: 36 cmH2O Pplat: 30 cmH2O PEEP: 10 cmH2OWhat inspiratory time will achieve 4 time constants (tau) for this patient? _______ seconds
I understand that I am not permitted to use notes, textbook,…
I understand that I am not permitted to use notes, textbook, or electronic resources to answer questions during the exam. I also understand that I am not permitted to discuss or share exam material with classmates until after the exam has closed for all students. If I violate these rules, my actions will be reported and may result in expulsion from the program.
How would the RRT increase recruitment of alveoli for a pati…
How would the RRT increase recruitment of alveoli for a patient in PC-AC with diffuse bilateral infiltrates?
How could the RRT increase mean airway pressure (MAP) for a…
How could the RRT increase mean airway pressure (MAP) for a patient in PC-AC with diffuse bilateral infiltrates? (Choose all that apply.)
A patient with a 7 year history of MS (multiple sclerosis) i…
A patient with a 7 year history of MS (multiple sclerosis) is demonstrating good ability to transition between postures, but is having difficulty holding and maintaining postures in standing. Based on this information, the MOST appropriate complementary alternative therapy to use with this patient is:
Spasticity and sensation are primary determinants of recover…
Spasticity and sensation are primary determinants of recovery of lower extremity function following SCI?
A patient presents with decreased gait speed and ability to…
A patient presents with decreased gait speed and ability to flex the right hip and knee during swing phase of gait. Which of the following exercises would best promote improved swing on the Right improving gait speed?
A patient with a spinal cord injury is having difficulty lea…
A patient with a spinal cord injury is having difficulty learning how to transfer from mat to wheelchair. The patient cannot seem to get the idea of how to coordinate the movement. Considering stage of learning, what is the MOST effective use of feedback?