You are using an automatic transport ventilator (ATV) for a patient who has a poor respiratory effort. Which one of the following is the best indicator of adequate ventilation?
A) The preset tidal and minute volumes on the ATV are being used.
B) There is no air leak between the mask and the patient's face.
C) The inspiratory to expiratory ratio is 2 seconds to 1 second.
D) The chest rises and falls.
D
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Your patient is a 24-year-old male who has been an in-patient in a rehabilitation hospital following surgical fixation of a fractured pelvis. Staff reports sudden development of hypotension and severe respiratory distress about 30 minutes ago. There is no other significant history. Physical exam findings include cold, diaphoretic skin with peripheral cyanosis; jugular venous distension; clear
breath sounds bilaterally; and vitals as follows: HR = 134, BP = 74/50, RR = 28, SaO2 = 84%. Which of the following is most likely? A) Spontaneous tension pneumothorax B) Pulmonary embolism C) Myocardial infarction D) Idiopathic congestive heart failure
For which type of transmission-based disease would health care workers need to be fitted for an N-95 respirator mask?
a. airborne b. contact c. droplet d. vector-borne