What is the purpose of tracheal gas insufflation?
A. to reduce functional dead space
B. to supplement the patient's inspired Vt with gas flow to match the preset Vt during spontaneous breathing modes
C. to provide additional inspiratory flow when the patient's inspiratory demands increase during spontaneous breathing modes
D. to supply the patient with further pressure when the patient is being administered either PSV, CPAP with PSV, or SIMV with PSV
ANS: A
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You are called to assist a 25-year-old female patient who is in profound respiratory distress. The patient has a history of asthma and severe allergies to peanuts. She has a prescribed albuterol inhaler and an epinephrine auto-injector. The patient states she was working in her garden when she accidentally stirred up a hornets' nest and was stung multiple times. The patient has wheezing in all
fields, and is breathing at 28 times per minute. She states that she triggered her asthma by running across the yard to the safety of her home. As you apply oxygen, you notice that she is now speaking in two- to three-word sentences, her skin has splotches, and her tongue and neck appear to be swelling. Your next action is to call medical control and then do what? A) Do not request to give epinephrine. It was prescribed for a peanut reaction, not for asthma. B) Request to assist the patient with her epinephrine pen for anaphylaxis. C) Request to assist the patient with her Albuterol for anaphylaxis. D) Request to assist the patient with her Albuterol inhaler for her asthma.
Pupils that differ in size by less than 1 mm:
A) indicate increased intracranial pressure. B) may be a normal variant in some patients. C) are a sign of methamphetamine abuse. D) are a sign of optic nerve compression.