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a 182 lb (83 kg), 5'10 (178cm) adult male is receiving volume controlled mechanical ventilation with traumatic injuries to the head and spine following a motor vehicle
accident. the following data is available:
Mode - SIMV Frequency - 16 bpm Vt - 550 ml FiO2 - .70 PEEP - 10 cmH2O PIP - 55 cmH2O Plateau - 48 cmH2O
Lab data shows:
pH - 7.31 PaCO2 - 45 torr PaO2 - 48 torr HCO3 - 22 mEq/L SaO2 - 83% The patient's condition is most consistent with which of the following? - CORRECT
ANSWER: Venus admixture
a 20-year-old male patient with CF has a cystic mass and the right lobe measuring 15 mm. to encourage proper over ventilation, the patient should be positioned in which of
the following configurations? - CORRECT ANSWER: lying on the right side
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a 28 yr old female presents in the ER with the following blood gases on room air: pH - 7.53 PaCO2 - 26 torr PaO2 - 48 torr HCO3 - 21 mEq/L Be - -1 mEq/L
which of the following should the RT conclude? - CORRECT ANSWER: intrapulmonary
shunting
a 32-year-old male patient with a history of asthma presents in the ER with the following
lab data:
pH - 7.35 PaCO2 - 45 mmHg PaO2 - 63 mmHg FiO2 - .21 WBC - 19,000 cu mm RBC - 5 mill/cu mm Hb - 11 gm/dL the RT should recommend which of the following initial actions? - CORRECT ANSWER: supplemental oxygen
a 33 week gestational age infant is receiving time cycled ventilation in SIMV mode, PIP 30cmH2O, FiO2 .50, PEEP 4cmH2O. during a routine check, the RT notices a sudden drop in oxygenation and increased cyanosis. further examination reveals tracheal deviation to the right with absent breath sounds on the left. the RT should: - CORRECT
ANSWER: perform trans illumination
a 48-year-old female has ordered to receive sustained maximal inspiratory therapy Q2 starting immediately after abdominal surgery. pre-operative inspiratory capacity value is 2800 ml. a good initial goal would be: - CORRECT ANSWER: 1400 ml
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a 54-year-old post-coronary artery bypass graft patient is being monitored with a balloon tipped, flow directed, pulmonary artery catheter. The following measurements are
current:
CVP - 11cmH2O PAP - 18mmHg PCWP - 22 mmHg CO 3.1 L/min
The RT should recommend which of the following? - CORRECT ANSWER: Crystodignin
(Digitalis)
a 56-year-old male is in the ICU after undergoing a complicated bariatric surgery. 2 hours after surgery, the RT notes the patient is becoming pale & diaphoretic, shows sinus tachycardia with increasingly frequent PVCs on the ECG monitor, and has a falling blood pressure which is currently 88/50 mmHg. the therapist should conclude that the patient is most likely: - CORRECT ANSWER: hemorrhaging
a 62-year-old, 200 lb (91 kg) patient is breathing at a rate of 14 /min & has a minute ventilation of 8.4L/min. the alveolar minute ventilation is? - CORRECT ANSWER: 5.6 L
a 64 kg (141 lb) male is receiving mechanical ventilation on the following settings: Mode - A/C Freq. - 14bpm Vt - 450ml FiO2 - .60 PEEP - 12cmH2O
Lab results show:
pH - 7.39 PaCO2 - 41torr PaO2 - 55torr HCO3 - 23mEq/L
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