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 patient presents with a history of loud snoring and daytim…
A patient presents with a history of loud snoring and daytime sleepiness. Which of the following is most important for a respiratory therapist to evaluate while the patient is sleeping?
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
While performing a patient-ventilator check, a respiratory t…
While performing a patient-ventilator check, a respiratory therapist observes very little condensation in the heated wire circuit. The heated wick humidifier contains an appropriate amount of water. The most likely explanation is that the
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 patient data are obtained:CaO2 Pv¯O2 Sv¯O2 Hb1…
The following patient data are obtained:CaO2 Pv¯O2 Sv¯O2 Hb12 vol%30 torr60%10 g/dL The patient’s C(a-v¯)O2 is approximately
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