TMC

A 96 kg (211 Ib), 174 cm (5 ft. 10 in) 66 year-old male patient is receiving ventilatory support via a volume ventilator in the pressure support (PSV) mode. ventilator settings and arterial blood gas results are as follows: Ventilator Settings PSV: 12 cmH2O FIO2: 0.45 CPAP: 5 cmH2O Arterial Blood Gases pH: 7.41 PaCO2: 36 mmHg HCO3: 22 mEq/L PaO2: 81 mmHg On the basis of this information, the respiratory therapist should: - continue current therapy The respiratory therapist is asked...

A 70-kg (154-lb) COPD patient who was started on mechanical ventilation due to a severe pulmonary infection has the following weaning parameters & clinical data three days after initiation of mechanical ventilation: MIP -25 cmH20 Spont VT 360 mL RR 27 WBC 8,000 per cu mmHb 16 gm/dL Based on the calculated RSBI, the respiratory therapist should recommend - discontinuing mechanical ventilation RSBI= RR/VT Which of the following patient conditions would CONTRAINDICATE the use of Trendele...

A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaeneous breathing trials to commence immediately. Which of the following medications would be most helpful to the patient? a. Meperidine b. Valium c. Romazicon (Flumazenil) d. Morphine Sulfate >>>>c. Romazicon (Flumazenil) In preparation for ventilator weaning the physician requests a VD/VT ratio assessment. Which of the following is needed...

A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with - >>>>heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist discovers that breath sounds are absent in the left chest with a hyperresonant percussion note. The trachea is shifted to the right. The patient's heart rate is 45/min, respiratory rate is 3...

Within one second after initiating a forced vital capacity (FVC) maneuver, a patient with normal lungs should be able to exhale what percent of the FVC? A. 35-50% of the FVC B. 50-70% of the FVC C. 70-83% of the FVC D. 84-93% of the FVC - >>>>c. 70-83% of FVC Simple spirometry CANNOT be used to measure the A. vital capacity B. residual volume C. tidal volume D. inspiratory reserve volume - >>>>b. residual volume Which of the following approaches can be used to ...

Prior to taking a pulmonary artery wedge pressure (PCWP) reading, the RT ensure that: - -the transducer is properly leveled and zeroed The fiberoptic bronchoscope is usually preferred device during bronchoscopy b/c its: - -flexibility The capnograph tracing above was obtained from a mechanically ventilated pt. On the basis of this tracing, the RT should: - -check the exhalation valve A RT is performing nasotracheal suctioning. During the procedure, the therapist occludes the catheter's t...