A patient has acute pulmonary edema from left-sided heart failure and acute hypoxemic respira-tory failure that has not responded to conventional pharmacologic and oxygen therapy
As the next line of therapy, the respiratory therapist should recommend which of the following?
a. Noninvasive positive-pressure ventilation
b. Continuous positive airway pressure
c. Intubation and mechanical ventilation
d. Bronchial hygiene therapy
ANS: B
The current recommendation for ACPE is for CPAP to be used initially. NIV should be used only in patients who were hypercapnic and continue to be hypercapnic in spite of the CPAP.
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All of the following health care professionals are allowed to prescribe medications in most states except:
A) PAs. B) NPs. C) LPNs. D) MDs.
A 21-year-old male was bitten on the left forearm by a dog. He is conscious and alert and denies any other injuries. An animal control officer is at the scene and has contained the dog. Your assessment of the patient's arm reveals a large avulsion with a peeled back flap of skin. Distal circulation is adequate and the patient is able to feel and move his fingers. In addition to bleeding control, you should:
A: apply oxygen via a nonrebreathing mask. B: perform a rapid head-to-toe assessment. C: replace the avulsed flap to its original position. D: irrigate the wound for at least 15 minutes.