Verified 2024/2025
A patient with post-polio syndrome and pneumonia is 173 cm (5 ft 8 in) tall and weighs 60 kg (132 lb).
Bedside spirometry and arterial blood gases drawn on room air are as follows:
RR: 28/min
VT: 250 mL
Vital capacity: 600 mL
MIP: -16 cm H2O
pH: 7.30
PaCO2: 62 torr
PaO2: 45 torr
HCO3-: 28 mEq/L
BE: +4 mEq/L
Based on this information, what should be recommended?
A. Intubate and mechanically ventilate
B. IPPB with normal saline
C. CPAP
D. IS aggressively
A. Intubate and mechanically ventilate
Upon entering a patient's room to check on a nasal cannula setup, the respiratory therapist hears a
high-pitched whistling sound coming from the bubble-type humidifier. What should be done to
correct the problem?
A. Add water to above the fill-line on the reservoir bottle
B. Straighten any kinks in the O2 tubing
C. Turn down the O2 flow
D. Properly place the cannula prongs into the patient's nostrils
B. Straighten any kinks in the O2 tubing
A 40 year old patient with pneumonia is sitting up in bed and has a respiratory rate of 30/min with a
regular pattern. Accessory muscles of ventilation are being used. The respiratory therapist would
determine her breathing pattern to be
A. Kussmaul's respiration
B. Cheyne-Stokes respiration
C. Tachypnea
D. Eupnea
C. Tachypnea
After a combination transcutaneous O2 and CO2 monitor is removed from the thigh of a preterm
neonate, a red circle is seen on the skin. The respiratory therapist would conclude that
A. The measured values are not reliable
B. The unit is operating normally
C. The patient has been burned
D. A pulse oximeter should be used instead
B. The unit is operating normally
, An 8-year-old child with pneumonia who weighs 30 kg (66 lb) is receiving mechanical ventilation.
Relevant data follow:
Mode: PC/SIMV
FiO2: 0.70
Mandatory rate: 10
Total rate: 20
VT: 200 mL
pH: 7.49
PaCO2: 34 mm Hg
PaO2: 55 mm Hg
HCO3-: 24 mEq/L
BE: 0 mEq/L
What should be recommended?
A. Increase the SIMV rate
B. Add 5 cm H2O PEEP
C. Add pressure support
D. Sedate the patient
B. Add 5 cm H2O PEEP
An adult patient with bronchospasm is receiving mechanical ventilation with a VT of 600 mL and a
flow of 30 L/min. The following data are measured:
PIP: 45 cm H2O
Pplat: 30 cm H2O
Calculate the patient's airway resistance in cm H2O/L/sec.
A. 13
B. 15
C. 20
D. 30
D. 30
A patient who is recovering from pneumonia is receiving mechanical ventilation with the following
settings:
Mode: PC/SIMV
FiO2: 0.35
Mandatory rate: 10
Total rate: 16
VT: 600 mL
PEEP 15 cm H2O
Arterial blood gas results show:
pH: 7.39
PaCO2: 39 torr
PaO2: 117 torr
HCO3-: 23 mEq/L
BE: -1 mEq/L
What should be recommended at this time?