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A Female Intubated Patient Has Been Weaned from Full Ventilatory

Question 13

Multiple Choice

A female intubated patient has been weaned from full ventilatory support to PSV 5 cm H2O,CPAP 5 cm H2O,and an FIO2 of 0.3.The patient is alert and oriented and doing well.The respiratory therapist performs a cuff leak test.The average peritubular leak is 70 mL.The respiratory therapist should recommend which of the following?


A) Maintain the patient on the current settings and redo the cuff leak test in 24 hours.
B) Increase the PSV to 10 cm H2O and maintain the CPAP and FIO2.
C) Extubate the patient and place her on a heated aerosol generator with an FIO2 of 0.4.
D) Pretreat the patient with steroids and/or racemic epinephrine before extubation.

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