An 84-kg (185 lb), 36-year-old male patient has myasthenia gravis. Bedside spirometry has found his VC to be 2.2 L and MIP is -38 cm H2O. Vital signs are as follows: respiratory rate: 18 breaths/min, heart rate: 88/min, and blood pressure: 124/84. What should the registered respiratory therapist recommend?
a. Continue monitoring VC, MIP, RR, HR, and BP every 2 hours
b. Administer Xopenex every 4 hours
c. Discontinue monitoring VC, MIP, RR, and BP
d. Intubate and initiate mechanical ventilation
All of the following are evaluated during a home sleep test (HST) EXCEPT:
a. Pulse rate
b. Chest effort
c. Nasal airflow
d. EEG
Option A and D are required in this case
Option D is the correct one as it is not measured in the home slerp test
An 84-kg (185 lb), 36-year-old male patient has myasthenia gravis. Bedside spirometry has found his VC...
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Presentation: Post-op day #3 Mr. Smith, a 68-year-old Caucasian male, weighs 150 lb. He has undergone an anterior colon resection for rectal polyps and had an uneventful postoperative course until the evening of the third postoperative day. He was on a telemetry floor and had no unusual complaints. At 11pm on the third postoperative day, he began to complain of not feeling “right”. Assessment of the patient revealed hypotension and shortness of breath. Within minutes he became confused and agitated....
Presentation: Post-op day #3 Mr. Smith, a 68-year-old Caucasian male, weighs 150 lb. He has undergone an anterior colon resection for rectal polyps and had an uneventful postoperative course until the evening of the third postoperative day. He was on a telemetry floor and had no unusual complaints. At 11pm on the third postoperative day, he began to complain of not feeling “right”. Assessment of the patient revealed hypotension and shortness of breath. Within minutes he became confused and agitated....