An exudate is defined as:
A) serous fluid that contains a low concentration of protein that accumulates in the ventricles of the brain.
B) the aqueous portion of whole blood.
C) fluid found in the knee joint.
D) serous fluid that contains a high concentration of protein or cells that accumulate in a body cavity as a result of increased capillary permeability.
D
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A 36-year-old female patient with a history of asthma is admitted to the ICU from the emergen-cy department. Her respirations are 30, very labored, with accessory muscle use and bilateral in-spiratory and expiratory wheezing
There is bilateral hyperresonance during chest percussion. A blood gas taken in the ICU after 1 hour of continuous aerosolized albuterol (15 mg) reveals: pH 7.38, partial pressure of carbon di-oxide (PaCO2) 42 mm Hg, partial pressure of oxygen (PaO2) 53 mm Hg, oxygen saturation (SaO2) 88%, bicarbonate (HCO3?) 25 mEq/L with nasal cannula 6 L/min. The patient is 5'5" and weighs 135 lb. The most appropriate action at this time is which of the following? a. Continue current therapy with 20 mg al-buterol and reassess in 1 hour. b. Noninvasive positive pressure ventilation (NPPV) with bilevel positive airway pres-sure (bilevel PAP), f = 12, inspiratory pos-itive airway pressure (IPAP) 28 cm H2O, expiratory positive airway pressure (EPAP) 3 cm H2O, fractional inspired ox-ygen (FIO2) 0.30 c. Intubate, use pressure-controlled continu-ous mandatory ventilation (PC-CMV), f = 8, peak inspiratory pressure (PIP) 28 cm H2O, TI 0.75 seconds, positive end-expiratory pressure (PEEP) 3 cm H2O, FIO2 1.0 d. Intubate, use volume-controlled continu-ous mandatory ventilation (VC-CMV), f = 12, tidal volume (VT) 600 mL, PF 40 L/min, PEEP 5 cm H2O, FIO2 0.60
In most of today's offices, typing has been replaced by ____________
a. word processing b. graphics c. spreadsheets d. none of the above