Kettering CSE Jane Winters Complete Guide
You are the respiratory therapist assigned to the emergency room of a 150 bed community hospital. You
are awaiting the arrival of a patient via ambulance. The patient, Jane Winters, arrives and you note that
she is approximately 48 years old, overweig...
You are the respiratory therapist assigned to the emergency room of a 150 bed community hospital. You
are awaiting the arrival of a patient via ambulance. The patient, Jane Winters, arrives and you note that
she is approximately 48 years old, overweight, appears very dyspneic and has pink frothy secretions
emanating from her mouth.
You would now administer which of the following therapies?
Administer O2 at 5L/min via nasal cannula.
Administer oxygen via non-rebreathing mask at 12 L/min.
Administer an aerosol treatment with albuterol.
Immediately suction the patient.
Administer 40% oxygen via venturi mask. ✔️✔️Administer oxygen via non-rebreathing mask at 12
L/min.
Done. Patient still dyspneic.
You wish to further assess the patient's cardiopulmonary status. Which of the following would you
evaluate?
Maximal inspiratory pressure
Arterial blood gases
Pulse
Respiratory rate
Electroencephalogram
12-Lead electrocardiogram
Urinalysis
Blood Pressure
Peak flow
FEV1
Pedal edema
, Color
Breath sounds
Deep pain response
Urine color
Gag reflex
Perfusion scan
Bronchoscopy
Electrolytes ✔️✔️Info gathering: go through and look at all the options and start with level 1-see with
your eyes, Level 2-what ever is at the bedside, Level 3-basic lab testing level 4- special tests
(4)12-Lead electrocardiogram-Tachycardia with PVC.
(2)Breath sounds-Moist rales throughout all lung fields.
(1)Color-Lips and nailbeds cyanotic.
(2)Blood Pressure-90/69 mmHg.
(3)Electrolytes-Sample sent to lab.
biggest problem is not ventilating
**decide before you go to the next section what you want to do**maintain 100% O2, but you need to
work on ventilation!
The physician arrives and asks for your recommendation regarding additional therapy. You would now
recommend:
Continue present O2 therapy.
IPPB treatment with 100% oxygen.
IPPB treatment on air mix with albuterol.
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