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- You are assesing a 16 year old male with a history of DUchenne's muscular dystrophy. Which of the following would be your primary concern? A) Assessing tidal volume B) Assessing respiratory rate C) Assessing for decubitus ulcers D) Assessing motor status in the extremities2. CPR is initiated and the victim's pulse returns but he is not breathing. What ventilation rate should be used for this patient? a) 8 per minute b) 12 per minute c) 20 per minute d) Depends on his color54. A 24-year-old man with advanced AIDS develops severe Pneumocystis jiroveci (formerly P. carinii) pneumonia that necessitates mechanical ventilation. He has signed an advance directive stating that he does not want to be on a ventilator. His family insists that mechanical ventilation be initiated. Which of the following is the most appropriate action by the physician? A) Call the hospital attorney for advice B) Comply with the family's wishes and begin mechanical ventilation for the patient C) Comply with the family's wishes by trying to persuade the patient to accept mechanical ventilation D) Comply with the patient's original wishes as outlined in the advance directive E) Start mechanical ventilation for the patient and consult the hospital ethics committee for advice on how to proceed
- Which of these images best illustrates changes in lung function caused by acute asthma? Choose from the following: (A) (1) (B) (2) (C) (3)--1.7. Identify and describe the three types of cells found in the alveoli. ?Scenario 2: You are a newly employed home care therapist and are visiting Mr. Pickwick for the first time. While checking his BiPAP setup, you observe that 2 Lpm of oxygen from an oxygen concentrator is being titrated directly into the mask. How would you determine the Fio2 being delivered? Explain your answer.
- Which one of the following drugs should be administered only when resuscitative equipment such as airway control and vasoactive meds are immediately available? A) FLUmazenil B) Meperidine C) Nitrous Oxide D) PropofolScenario three I was working evenings in the emergency department of a seaside hospital. We admitted a 54-year-old man, whom I'll call Mr. Schmidt. He told me, “I just got here for vacation, and I'm not feeling so great. I had pneumonia at home, got treated, and thought I was better. Now my breathing feels lousy again." A check of his vital signs while he was sitting quietly revealed the following: T 99° C, P 138 beats/min, R 36 breaths per minute, BP 168/80 mm Hg. As I helped him to the stretcher, he became significantly more short of breath. I checked his lung sounds and heard a lot of congestion. I notified the doctor and voiced my concern that Mr. Schmidt seemed quite ill. The doctor examined him and ordered an electrocardiograph and chest x-ray study. During this time we got very busy. I was helping another patient when the doctor came to me and said, "I want you to give Mr. Schmidt 80 mg of furosemide (a diuretic) IV now and discharge him." I looked at him skeptically and said,…Scenario 2: You are a newly employed home care therapist and are visiting Mr. Pickwick for the first time. While checking his BiPAP setup, you observe that 2 Lpm of oxygen from an oxygen concentrator is being titrated directly into the mask How can you assess the adequacy of the oxygen therapy being provided?
- 2) when atmosphere pressure is less than alveolar pressure: A) air moves neither into nor out of the lungs B) atmospheric pressure is never less than alveolar pressure C) inhalation occurs D) exhalation occurs E) the patient dies11. If lung compliance decreases with advancing age, in the absence of other changes: a) the work of breathing would increase. b) the lungs would be easier to inflate. c) lung elastance would decrease d) airway resistance would increase during inspirationSelect the best answer or answers from the choices given: Which of the following would not normally be treated by 100% oxygen therapy? (Choose all that apply.) (a) anoxia, (b) carbon monoxide poisoning, (c) respiratory crisis in an emphysema patient, (d) eupnea.
