What should the respiratory therapist recommend? 1. Duoneb Q4 2. Continuous nebulizer treatment with 10 mg albuterol and 1 mg atrovent 3. BIPAP: 15/5, RR 12 and 50% 4. Intubation and mechanical ventilation

An 81-year-old male patient has been ventilated on the following settings for one hour: BIPAP: 20/8, RR 20 and 100%   His ABG reveals the following: ABG pH 7.19 PaCO2 86 PaO2 62 HCO3 25 Sa02 89%   Which of the following should the respiratory therapist recommend?

A 71-year-old female presents to the ER with SOB.  Her room air ABG reveals the following: ABG pH 7.36 PaCO2 65 PaO2 44 HCO3 32 Sa02 81% What should the respiratory therapist recommend?

Which of the following is not an indication for NIV? 1. RR of 28 2. P/F ratio of 380 3. pH of 7.27 4. PaCO2 of 51

What is the main advantage of NIV/NPPV  compared to invasive mechanical ventiltion?

During the assessment of a 66-year-old female patient on BIPAP, the patient is found to have agonal respirations.  What should the respiratory therapist recommend?  

Calculate the P/F ratio:

A somnolent 45-year-old male is currently on a 40% air-entrainment mask.  His assessment reveals the following: ABG pH 7.25 PaCO2 59 PaO2 51 HCO3 14 Sa02 86% VITALS HR 132 RR 29 BP 76/40 TEMP 102.1° F SpO2 87% LABS WBC 15,000 per mm3 LACTIC ACID 5.4 mEq/L What should the respiratory therapist recommend?

Which of the following is a hazard of NIV? 1. Hypotension 2. Eye Irritation 3. Risk of Aspiration 4. Skin Problems

A respiratory therapist receives BIPAP orders for a 89-year-old female patient admitted with an UTI.  Upon arrival to the patient’s room, the patient is confused, combative and refusing to wear the BIPAP.  What is the most appropriate course of action?