Mr. Adam is in the ICU on an FiO2 of 100%. An arterial blood gas reveals the following infor-mation: pH of 7.18, PaCO2 of 59 mm Hg, PaO2 of 65 mm Hg, HCO3 of 24 mEq/L What action would you recommend?
a. Provide ventilatory support.
b. Put patient on steroids.
c. Give patient chest PT.
d. Put patient on CPAP.
ANS: A
The patient is in hypoxic (type I) and hypercapnic (type II) acute respiratory failure. Providing full mechanical ventilatory support will provide the ventilator support needed to normalize pH and improve oxygenation.
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A 12-year-old has been taking an antibiotic for a respiratory infection. His mother called 911 because she believes her child has gotten worse despite the antibiotics. He is alert and oriented, and tells you that he does not have any difficulty breathing. He has a raised rash on his chest, arms, and back. His respiratory rate is 18, pulse is 92, and blood pressure is 108/72. You should suspect:
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Protected health information (PHI) can be disclosed in which of the following circumstances?
A. A coroner requests it to assist in identifying a body. B. The U.S. Food and Drug Administration requests it in relation to a product recall. C. An organ procurement organization requests it to facilitate the donation and transplantation of organs. D. A patient has been admitted to the emergency department and the family is trying to locate him or her.