Lindsey Jones TMC Questions And Answers
The following arterial blood gas results are available for a patient receiving volume controlled
ventilation.
pH 7.21 PaCO2 53 torrPaO2 72 torrHCO3- 23 mEq/LBE -2 mEq/L
Current ventilator settings are:
Mode Assist/control VT 550 mL Mandatory rate 12Tota...
A. intubate and initiate mechanical ventilatory support
, Lindsey Jones TMC Questions And Answers
B. administer systemic steroid medication
C. continue to monitor the patient closely
D. check the protein level in the spinal fluid A. A patient with Guillain-Barre' Syndrome
experiences a slow onset of paralysis of the ventilatory muscles and will ultimately require
mechanical ventilatory support. The point at which ventilatory support is needed is when vital
capacity falls below 1 L. In this case, vital capacity is 0.8 L indicating the patient should be
intubated and receive mechanical ventilatory support.
A patient with a history of hyper-reactive airway disease is having difficulty expectorating
because the sputum is thick and tenacious. Which of the following medications should the
respiratory therapist recommend?
A. Solu-Mederol
B. Acetylcysteine (mucomyst)
C. Spiriva (tiotropium bromide)
D. Beclamethasone (Beclovent) B. Hyperactive airway disease is associated with diseases
such as asthma and consist of bronchoconstriction and inflammation. This patient appears to
have difficulty with bronchoconstriction and thick secretions. Therefore, a mucolytic, such as
acetylcysteine, and Solu-Medrol are appropriate.
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