exam 2 Flashcards
(25 cards)
a quadriplegic pt with diaphragmatic paralysis is having difficulty mobilizing secretions. Which of the following would help?
cough assist
What is a reason to discontinue SBT?
blood pressure increases from 110/65 to 134/90
7 year old has been brought to the ER following a house fire. He was found unconscious on the scene. What should be drawn to access for carbon monoxide posioning?
carboxyhemoglobin level
What condition would be ,most helped by therapy intended for secretion mobilization?
bronchiectasis
chest radiograph on a neonate indicated ground glass. what is this closely associated with?
RDS
patient demonstrating and increased WOB exhibits refractory hypoxemia even when receiving oxygen via non rebreather. pt is visibly agitated. what should the RT recommend?
ABG
pt experiencing pulseless ventricular tachycardia is receiving chest compressions while being orally intubated. immediately after intubation the RT notes vesicular breath sounds bilaterally. what should the therapist do?
reccommend chest radiograph
pt on medical floor expectorates tenacious yellow sputum. chest radiograph reveals complete opacification of the LL. what would be appriopirate for further eval?
sputum culture and sensitivity
a mechanically ventilated asthma pt is now responding to continuous bronchodilator tx. the pt is coughing but the high pressure alarm is not sounding. the RT should?
decrease the high pres limit
oxygen percentage measured in an oxygen hood is reading erratically when measured with a recently calibrated galvanic fuel cell analyzer. the likely remedy is?
replace fuel cell
an 80 kg pt is being evaluated for discontinuation of mechanical vent. the following weaning parameters are determined: VC- 1.3, RSBI- 50, VT (spont)- 420, RR- 22. which of the following parameters is the most reliable indicator of mechanical vent liberation?
RSBI
an RT is gathering equipment to perform an arterial puncture on an adult female pt. the correct needle size is?
22 gauge
which of the following equipment should the RT gather when standing by to assist a cardiologist with a cardio version?
manual resuscitator
what results in increased CVP?
hypervolemia
how can application of cricoid pressure aide a difficult intubation?
facilitates the view of vocal chords
a patient in the ICU has the following swanz-ganz measurements: CVP- 6, mPAP- 16, PCWP- 11, C.I- 1.7. What is most likely the cause of this following data?
affects of high PEEP
during surgical placement of an 8.0 trach tube, the pt coughs out the tube before sutures are placed. the tube lands several inches away onto the sterile field. what should be done first
place ejected tube in the surgical opening
an oxygen dependent pt who is on 2 lpm is planning a trip that will last 24 hrs. the plane will allow up to 4 extra E cylinders per passenger. what should the RT recommend?
pulse dose unit
immediately after obtaining arterial blood gasses from an indwelling radial arterial cath. the resp therapist notes the arterial pressure dampening on monitor. which of the following could be the cause of dampening?
air bubbles in the line
a pt being volume ventilated has thick secretions that are difficult to sx, the patient has an 8.0 oral endo tube and is being sx with 10 French sx cath at a pressure of 100 mm. what would you recommend
change to a 12 French. (IDx3/2)
while monitoring a newborn a RT notes the TcO2 reading on the monitor suddenly rises sharply. what is a reasonable explanation for the rise?
the transcutaneous electrode has become detached from the skin
a patient with gullian barre syndrome is being monitored for adequate spont ventilation. which of the following would indicate need for mechanical ventilation support?
v.c=0.8
what is am appropriate goal for a patient in pulmonary rehab who is in the advanced stages of pulm emphysema?
reduced hospitalizations
what is closely associated with increased airway RAW
accessory muscle use
