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, 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?

In which of the following disease process would Nitric Oxide therapy be indicated?

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?

ARDS net vent strategy is recommended when ____.

Plateau pressures should always be under

Which of the following is true concerning the ARDS patient?

It is noted that Mr. Jones has an AHI of 12 with an SpO2 of 84% during the sleep study. Which of the following would be the most appropriate action?

A respiratory therapist is performing trach care on a patient who is receiving PC ventilation. The therapist observes increasing heart rate, decreasing exhaled tidal volume, and increasingly distant breath sounds over the right chest.  The therapist should do which of the following?

During a sleep study the following was observed: 8 events where the patient had no ventilatory efforts 18 events where the patient attempted to breath but couldn’t SpO2 dropped to 74 – 84% during these events Which of the would be the most likely diagnosis?