Author: Anonymous

A patient has lung infection with Pseudomonas aeruginosa. What first-line antibiotic should be used to treat?  

Patient is following up with his pulmonologist after a polysomnography. Patient had 97 episodes of OSA and 15 episodes of central sleep apnea with SpO2 dropping to an average of 72% during the apnea episodes. Physician asks the therapist for a recommendation. What would be the best recommendation

After the inhalation of a bronchodilator, what percentage change in peak expiratory flow (PEFR) would be required to demonstrate reversible air flow limitation consistent with asthma?    

You are called to a patient’s room do to severe increase in WOB you raise the head of the bed while listening to the nurse’s report to the physician. HR 110, RR 22, BP 105/55, SpO2 is now 94% on a NRB. Morning labs CBC : WBC 9000 H&H 14%45, electrolytes wnl, Lactic acid .9, BUN 9mg/dL, Crt. .6 mg/dL, BNP 900 (elevated).  You obtained an abg 7.33/50/70/24/0/.What would be your recommendation at this time?

A COPD patient is being discharged and the doctor wants to prescribe a controller-type bronchodilator for home use. Which of the following medications would you recommend?

A 10- year- old patient was in the kitchen stirring pasta when the stove caught on fire. Girl mouth shows edema and blisters. What should the respiratory therapist recommend?

The police have brought to the ED a man found lying on a city park bench and it is 76oF outside. He was found unresponsive to their efforts in getting him to wake up and move. You proceed to the ED.The ED physician asks you to assess the patient’s oxygenation status. Which of the following methods will quickly provide the necessary information?

The respiratory therapist is evaluating a patient for risk for obstructive sleep apnea. Which of the following are risk factors for obstructive sleep apnea?1. Excess weight2. Large neck size3. Hypertension4. Hyperglycemia

A 22-year-old female has been admitted to the Intermediate Care Unit. She was diagnosed with Cystic Fibrosis as a young child using the sweat chloride test. C&S shows: pseudomonas aeruginosa, likely chronic. Staphylococcal pneumoniae Vitals include: BP 108/64, HR 104 bpm, RR 20/min, SpO2 88% RA On Inspection you notice mild expiratory accessory muscle use, increased AP diameter. Auscultation reveals coarse crackles throughout lung fields, diminished in bases. Labs include ABG 7.30, 55, 48, 26; WBC 14.7; Lactic 2.5 What is indicated at this time?                   B2 agonist Alpha1 agonist Dornase Alpha Tobramycin PEP therapy .07%NS O2 therapy a.  Q4 N Q12 300mg/BID Y Y HFNC 50% b. Q4 N QD 600mg/BID N Y 50% Venti   c. Q6 Y Q 8 300mg/ Q8 Y N HFNC   d. QID N Q12 150mg/QD Y Y BiPAP    

Disease states that could benefit from the use of adrenergic bronchodilators include which of the following?1. Asthma2. Chronic bronchitis3. Emphysema4. Pulmonary edema