Chest physiotherapy is initiated for a patient who is alert…

Chest physiotherapy is initiated for a patient who is alert and oriented.  As therapy progresses, a respiratory therapist notices the patient is no longer responsive to verbal stimuli.  The therapist checks the patient’s pulse and finds that the heart rate is 30.  The patient has a respiratory rate of 6.  Which of the following should the therapist do NEXT?

An alert adult patient is receiving CPAP with PS of 5 cm H2O…

An alert adult patient is receiving CPAP with PS of 5 cm H2O and an FIO2 of 0.28.  The patient has a heart rate of 88 and a respiratory rate of 25. Blood gas analysis results are as follows: pH                7.43PaCO2        35 torrPaO2           95 torrHCO3-        23 mEq/LBE                -1 mEq/LWhich of the following is a respiratory therapist’s most appropriate action?

Spontaneous breathing trials with a T-piece have been initia…

Spontaneous breathing trials with a T-piece have been initiated for a 50-year-old patient who has been receiving mechanical ventilation for 4 weeks.  With each trial, the patient becomes agitated, dyspneic, and tachypneic, and must be returned to the ventilator.  Which of the following should the respiratory therapist recommend?

A respiratory therapist intends to change the I:E during VC…

A respiratory therapist intends to change the I:E during VC ventilation.  Flow is constant during inspiration.  Which of the following can be adjusted to accomplish this change? volumemandatory ratesensitivity inspiratory flow1.yesyesyesno2.yesyesnoyes3.yesnoyesyes4.noyesyesyes

A 32-year-old non-smoker presents with persistent shortness…

A 32-year-old non-smoker presents with persistent shortness of breath.  The following spirometry data are obtained: Pre-bronchodilator                 Post-bronchodilator FEV1                     3.8 L                          4.6 L FVC                     6.29 L                          6.14 L FEV1/FVC           60%                        75%A respiratory therapist should NEXT recommend

The following pulmonary function results are obtained for a…

The following pulmonary function results are obtained for a patient:       .   Observed  Predicted % Predicted             . FVC 3.40 5.90 57.6% FEV1 0.50 4.00 12.5% FEV1/FVC 14 70 FEF25-75% 0.77 4.50 17.0% TLC 8.40 7.30 115.0% A respiratory therapist should recommend a treatment plan for

A patient has been receiving mechanical ventilation through…

A patient has been receiving mechanical ventilation through a tracheostomy tube for 16 days.  The patient begins to thrash about in the bed following withdrawal of a drug-induced coma.  The patient’s tracheostomy tube has become dislodged.  Following appropriate sedation, a respiratory therapist should NEXT