Practice Quiz

Respiratory Therapist

Category - Initiation and Modification of Interventions

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A pediatric patient has been mechanically intubated for four days. The patient is currently hemodynamically stable, awakens and interacts, and has manageable secretions.

From a respiratory standpoint, which values indicate the patient considered for extubation?
  1. SIMV rate of 10
  2. Patient is on a PEEP of 15
  3. Patient is on CMV.
  4. Patient is tachypneic.
Explanation
Answer: A-A patient on SIMV at a rate of 10 would be the one value that indicates the patient ready for extubation.

SIMV mode allows the patient to be taking spontaneous breaths, and close monitoring of those tidal volumes will give input valuable to the extubation process.
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