Which of the following ventilator-related factors have a major effect on metered dose inhaler de-livery of aerosolized drugs during mechanical ventilation?
1. Mode of support
2. Presence of positive end expiratory pressure
3. VT
4. Inspiratory wave form
a. 3 only
b. 1, 2, and 3 only
c. 2, 3 and 4 only
d. 1, 3, and 4 only
ANS: D
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You are dispatched to an extended-care facility for a "sick person." On arrival, you speak with the staff who tells you that Ms. Johnson "just started acting differently and is slow to respond." Your assessment reveals that she is febrile and has vomited. When you move her to the cot, you notice a stage 3 ulcer on her buttock. What could you assume from her condition?
A) This is most probably due to abuse. Report the facility to the appropriate authorities. B) This is an acute illness requiring rapid intervention. C) The signs could be masking a more serious issue, like a cardiac event. D) She is probably suffering from sepsis due to infection of the ulcer. She probably needs an IV and supportive care from you, but antibiotics and wound care will be needed for recovery.
An AEMT has an accurate understanding of the systolic blood pressure when he tells you that the systolic blood pressure is:
A) the pressure in the veins. B) represented by the bottom number. C) produced when the heart contracts. D) caused by constriction of the arteries.
Patients with hyperventilation syndrome (HVS), also known as ____, markedly decrease their arterial pCO2 levels, causing a leftward shift in the oxyhemoglobin curve and hypocalcemia.
A. chest pain B. psychogenic dyspnea C. coronary artery spasm D. coronary vasospasm
Why is it preferable for family members to remain with young children who are hospitalized?