Which of the following are predicted to be a growing trend in respiratory care for the future?
1. Greater use of respiratory therapy protocols
2. Increased need for patient assessment skills
3. Increased involvement in smoking cessation programs
4. Clinical decisions will increasingly be data-driven
a. 1 and 2 only
b. 2 and 3 only
c. 2, 3, and 4 only
d. 1, 2, 3, and 4
Dr. David Pierson, a prominent pulmonary physician, described the future of respiratory care in 2001. Among other things, he predicted greater use of patient assessment and protocols in dis-ease state management in all clinical settings; a more active role for respiratory therapists in palli-ative care; increasing emphasis on smoking cessation and prevention; early detection and inter-vention in COPD; and an increase in the use of respiratory therapists as coordinators and care-givers for homecare. The science of respiratory care will continue to evolve and increase in com-plexity, and clinical decisions will increasingly be data-driven.
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Which of the following mechanically ventilated patients shows clinical signs of hypoventilation?
a. A patient who is cool to the touch and has negative T waves on the ECG b. A patient who has twitchy extremities and also atrial flutter on the ECG c. A patient who is anxious and hypertensive and has elevated T waves on the ECG d. A patient who has cool, twitchy extremi-ties and also low, rounded T waves on the ECG