Mech Vent 1 Ice breaker

A patient with COPD complains of difficulty breathing when he is ambulating. His sat is 88% at rest. Which of the following would you recommend?

• Oxygen Therapy

• PEEP therapy

• Antibiotic therapy

• Aerosolized bronchodilator

A pnuemonia patient is receiving oxygen via NC at 2lpm. The sat is 89%, HR 110, and RR 24bpm. Which of the following would you recommend?

• increase the liter flow of oxygen

• intubate and mechanically ventilate

• bronchodilator

• CPT with postural drainage

To help reduce the risk of nosocomial infections when using heated humidification, the RT should:

• Suction vigoruosly

• Use a filter or HME to reduce airborne bacteria

• use aseptic technique when setting up the system and date the water source

• avoid draining the tubing to prevent contamination

What is the most significant factor affecting airway resistance?

• Gas flow rate

• Gas viscosity

• airway length

• Airway radius

The minute volume for a 68 kg patient who has a respiratory rate of 12/min and a tidal volume of 600 mL is:

• 7.2L

• 6.0L

• 5.4L

• 4.8L

Interpret the ABG:

FiO2 0.21, pH7.55, PaCO2 25, HCO3 24, PaO2 105

• Metabolic acidosis

• Metabolic alkalosis

• Uncompensated hyperventilation

• Uncompensated hypoventilation

A 65 y/o man with a hx of reanal failure is in the ED with a RR of 28 very deep breaths per minute. How would we describe the breathing pattern?

• Cheyne-Stokes

• Ataxic

• Eupneic

• Kussmaul's

A cooperative elderly patient with chronic asthma is seen in the pulmonary clinic. Her assessment reveals:

HR 94

RR 28

Temp 36.5

BP 135/90

ABG pH 7.33, PaCO2 70, PaO2 35, HCO3 34

What action should you take at this time?

• Administer a bronchodilator

• Oxygen at 2 lpm NC

• Oxygen via NRB mask

• Prepare for intubation and mechanical ventilation

You are asked to evaluate a patient for oxygen therapy. The patient is sleepy but arouses when questioned. This LOC is describe as:

• confused

• obtunded

• stuporous

• lethargic

Which of the follow would be most useful in assessing proper tube placement following intubation?

• Transcutaneous Monitoring

• ABG

• Pulse Oximetry

• End-tidal CO2