The respiratory therapist notes that the patient is assisting at a rate of 18 and has bilaterally decreased breath sounds in the bases. The patient is on VC-CMV, rate = 12, VT = 700 mL, FIO2 = 40%, PEEP = 5 cm H2O, with an HME. Although the patient was medically stable, a tracheostomy was performed 2 weeks later because the patient was unable to be weaned from the ventilator. Insert a 14-gauge needle in the second intercostal space, midclavicular line, right side.Ī patient with a past medical history of COPD was placed on a ventilator after upper abdominal surgery for a serious wound infection. Extubate the patient and reintubate with a larger endotracheal tube. ![]() Administer a bronchodilator and suction the endotracheal tube. Pull the endotracheal tube back until bilateral breath sounds are heard. The most appropriate action to address this situation is which of the following?Ī. The resuscitator bag is difficult to squeeze, breath sounds are present on the left with no adventitious sounds and absent on the right side, and percussion reveals hyperresonance over the right side. The respiratory therapist disconnects the patient from the ventilator and begins manual ventilation with 100% oxygen and PEEP. The ventilator’s high pressure alarm is sounding continuously. The patient has suddenly become severely agitated and appears to be fighting the ventilator. She has been on the ventilator for 5 days and has been tolerating this therapy well. ![]() A 68-year-old woman was admitted to the ICU with pneumonia and was intubated when she developed progressive hypoxemia.
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