12-14-2016, 04:42 AM
A 69-year-old woman is brought to the emergency department by ambulance after calling 911 because
of severe shortness of breath. By the time the ambulance arrived, the patient was having pronounced
difficulty breathing. She was placed on 100% oxygen and was brought to the emergency department.
Her medical-alert bracelet disclosed that she is allergic to penicillins and that she has COPD. Her
temperature is 37.0 C (98.6 F), blood pressure is 190/85 mm Hg, pulse is 112/min, respirations are
34/min, and oxygen saturation on 100% oxygen is 82%. She appears to be in moderate to severe
respiratory distress. The decision is made to intubate the patient. The most appropriate management
of this patient after intubation is to
A. allow the patient to breath spontaneously
B. deliver rapid, shallow breaths to increase oxygen delivery
C. deliver slow breaths with 6-10cc/kg tidal volumes
D. deliver slow breaths with 15-20cc/kg tidal volumes
of severe shortness of breath. By the time the ambulance arrived, the patient was having pronounced
difficulty breathing. She was placed on 100% oxygen and was brought to the emergency department.
Her medical-alert bracelet disclosed that she is allergic to penicillins and that she has COPD. Her
temperature is 37.0 C (98.6 F), blood pressure is 190/85 mm Hg, pulse is 112/min, respirations are
34/min, and oxygen saturation on 100% oxygen is 82%. She appears to be in moderate to severe
respiratory distress. The decision is made to intubate the patient. The most appropriate management
of this patient after intubation is to
A. allow the patient to breath spontaneously
B. deliver rapid, shallow breaths to increase oxygen delivery
C. deliver slow breaths with 6-10cc/kg tidal volumes
D. deliver slow breaths with 15-20cc/kg tidal volumes