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Kettering CSE Jane Winters Complete Guide
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Kettering CSE Jane Winters Complete Guide You are the respiratory therapist assigned to the emergency room of a 150 bed community hospital. You are awaiting the arrival of a patient via ambulance. The patient, Jane Winters, arrives and you note that she is approximately 48 years old, overweig...

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  • October 29, 2024
  • 5
  • 2024/2025
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Kettering CSE Jane Winters Complete Guide

You are the respiratory therapist assigned to the emergency room of a 150 bed community hospital. You
are awaiting the arrival of a patient via ambulance. The patient, Jane Winters, arrives and you note that
she is approximately 48 years old, overweight, appears very dyspneic and has pink frothy secretions
emanating from her mouth.



You would now administer which of the following therapies?

Administer O2 at 5L/min via nasal cannula.

Administer oxygen via non-rebreathing mask at 12 L/min.

Administer an aerosol treatment with albuterol.

Immediately suction the patient.

Administer 40% oxygen via venturi mask. ✔️✔️Administer oxygen via non-rebreathing mask at 12
L/min.

Done. Patient still dyspneic.



You wish to further assess the patient's cardiopulmonary status. Which of the following would you
evaluate?

Maximal inspiratory pressure

Arterial blood gases

Pulse

Respiratory rate

Electroencephalogram

12-Lead electrocardiogram

Urinalysis

Blood Pressure

Peak flow

FEV1

Pedal edema

, Color

Breath sounds

Deep pain response

Urine color

Gag reflex

Perfusion scan

Bronchoscopy

Electrolytes ✔️✔️Info gathering: go through and look at all the options and start with level 1-see with
your eyes, Level 2-what ever is at the bedside, Level 3-basic lab testing level 4- special tests

all the rest is not indicated.

(1)Respiratory rate-34 breaths per minute.

(3)Arterial blood gases-At an FIO2 of 1.0, PaO2 55 torr, pH 7.28, PaCO2 57 torr, HCO3 17 mEq/L, Hb 13
g/dL, SaO2 84%.

(2)Pulse-140 beats per minute.

(2)Pedal edema-Rated at +2.

(4)12-Lead electrocardiogram-Tachycardia with PVC.

(2)Breath sounds-Moist rales throughout all lung fields.

(1)Color-Lips and nailbeds cyanotic.

(2)Blood Pressure-90/69 mmHg.

(3)Electrolytes-Sample sent to lab.



biggest problem is not ventilating

**decide before you go to the next section what you want to do**maintain 100% O2, but you need to
work on ventilation!



The physician arrives and asks for your recommendation regarding additional therapy. You would now
recommend:

Continue present O2 therapy.

IPPB treatment with 100% oxygen.

IPPB treatment on air mix with albuterol.

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