A neonate on mechanical ventilation developed pulmonary air leak syndrome. What change should the respiratory therapist now recommend?
a. Initiate the bronchopulmonary hygiene therapy protocol.
b. Decrease the oxygen percentage.
c. Initiate high-frequency ventilation.
d. Insert bilateral pleural chest tubes.
C
The respiratory therapist could recommend high-frequency ventilation, which has been effective in treating infants with pulmonary air leak syndromes.
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SCENARIOUse this scenario to answer the following question(s).A 76-year-old man is complaining of chest pain and dizziness after falling off his porch. He has a rapid and weak pulse, and his skin is cool, pale, and sweaty. His blood pressure is 96/64, and he says he feels as though he might pass out.Which of the following should be done FIRST to help delay the progress of shock in this patient?
A. Provide a blanket B. Calm and reassure the patient C. Ensure an open airway D. Administer oxygen per local protocols
A 6-year-old male is in severe respiratory distress with inspiratory stridor. He has pale, moist skin, with cyanosis noted around his mouth. The patient is very lethargic and cannot hold his head up. His mother is panicked and reports that he has a history of asthma. Breath sounds are diminished and his vital signs are pulse, 162 beats/min; respirations, 40 breaths/min; blood pressure, 122/66 mmHg; and SpO2, 81%. What would your immediate action be?
A) Apply a nonrebreather mask with 15 lpm oxygen B) Insert an oral airway and ventilate with a bag-valve mask C) Start positive pressure ventilation D) Administer the patient's albuterol MDI and provide immediate transport
What is the key factor contributing to the passage of the ACA
a. Large number of Americans who are uninsured b. High cost of healthcare expenditures c. Declining quality of care d. Democratic control of the Congress
In which of the following cases would it be legal for a physician to sign a death certificate?
A. if the physician attended to the deceased before the death B. if the death was possibly due to criminal causes C. if the cause of death was undetermined by the physician D. if the cause of death was violent E. if the cause of death was suspicious