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:
M
...
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
Trendelenburg's position? - ✔✔Increased intracranial pressures
Which of the following defibrillator settings is appropriate for treating a patient with
ventricular tachycardia? - ✔✔synchronization set to OFF
A physician requests the presence of a respiratory therapist for an intubation to deliver
Exosurf to a newborn. Which of the following clinical finding is most likely? - ✔✔L/S ratio
less than 2:1
A 40-week gestational age neonate is receiving time-cycled, pressure-limited ventilation
with an I-time of 0.4 seconds, PIP 28 cm H2O, RR of 25/min, FIO2 0.45 and PEEP 5 cm
H2O. As the flowrate is increased, what will happen to the I:E ratio? - ✔✔No change
A respiratory therapist is assigned to monitor a mechanically ventilated male patient
with the following settings and clinical data:
Mode Pressure/control Mandatory
Rate 20/min
FIO2 0.75
PIP 30 cm H20
I:E ratio 2:1
PEEP 22 cm H20
pH 7.35
PaCO2 50 torr
PaO2 60 torr
Based on this data, which of the following conditions is most likely? - ✔✔Acute
Respiratory Distress Syndrome
Which of the following actions would most likely resolve a high-pressure alarm on a
volume-cycled adult ventilator?
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