I’m absolutely LOVING this sociology class thus far, and Dean is such a great instructor! 

An adult patient in the emergency room came in with COPD exacerbation. The patient was given X2 of 5 mg of albuterol and 0.5 mg of Ipratropium bromide but the patient continues to use his accessory muscles of inspiration and bilateral wheezes. What should be recommended now?

A COPD patient has orders for Fluticasone/salmeterol (Advair). The practitioner should deliver this medication how often?

A COPD patient has orders for Fluticasone/salmeterol (Advair). The practitioner should deliver this medication how often?

Which of the following alarms on ventilatory support will indicate mechanical leaks?   I. Low VT alarm II. Low pressure alarm III. High pressure alarm IV. Low PEEP alarm

An awake and alert female patient who is 5′ 8″ tall was just placed on this weaning mode. Parameters are below: CPAP – 5 cm H2O Total rate – 30 breaths FIO2 – 35% Tidal volume – 250 ml RSBI – 120 MIP – (-23) What should be done next?

An adult patient in the emergency room came in with COPD exacerbation. The patient was given X2 of 5 mg of albuterol and 0.5 mg of Ipratropium bromide but the patient continues to use his accessory muscles of inspiration and bilateral wheezes. What should be recommended now?

An obtunded female patient who is 5’10” is currently on BIPAP  with an IPAP of 16 and EPAP of 8 cm H2O with an FIO2 of 100%.    pH 7.22 PaCO2 68 torr PaO2 45 torr HCO3 30 mEq/L BE/BD +4   A physician intubated the patient and would like to know what ventilator setting should be used?

A patient with acute lung injury (ALI) needs to be placed on CMV on PCV. The patient is a 5’5″ male. Pressure control should be adjusted to target a tidal volume of:

Increasing positive end-expiratory pressure (PEEP) could lead to these risks:   I. Increase in cardiac output II. Decrease in venous return III. Decrease in blood pressure IV. Increase in intracranial pressure (ICP)