A 68-Year-Old,5-Foot,10-Inch Male Patient with Acute-On-Chronic Respiratory Failure Due to COPD

question 1

Multiple Choice

A 68-year-old,5-foot,10-inch male patient with acute-on-chronic respiratory failure due to COPD has been placed on NPPV with these settings: IPAP = 8 cm H₂O,EPAP = 4 cm H₂O,F_IO₂ = 0.28.The patient's measured exhaled volume is 350 mL with a spontaneous respiratory rate of 24 breaths/min.The resulting arterial blood gas values are: pH = 7.27,PaCO₂ = 77 mm Hg,PaO₂ = 64 mm Hg,SaO₂ = 88%,HCO₃^- = 36 mEq/L.What action should the respiratory therapist take at this time?

• A) Increase the F_IO₂ to 0.4.
• B) Increase the EPAP to 6 cm H₂O.
• C) Increase the IPAP to 12 cm H₂O.
• D) Decrease the EPAP to 2 cm H₂O.

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Definitions:

FOB Shipping Point

This term refers to a delivery method where the buyer assumes ownership and responsibility for goods the moment they leave the seller's premises.

Ending Inventory

The total value of all inventory a company has in stock at the end of a financial period.

Physical Count

The process of manually counting and verifying the quantities of inventory on hand at a specific point in time.

FOB Destination

A shipping term where the seller bears the freight charges and maintains ownership until the goods are delivered to the buyer's location.