A newpatient arrived to your LTACH with a Shirley trach 8.0 inflatedwith an HME attached to it and is on 5 L/min of O2 running into thetrach. The patient has a history of chronic bronchitis, asthma, andcomplain of thick retain secretion. The patient vital signsare HR 97, BP 126/89, RR 23,SpO2 91% on 5 L/min, and a Temp of 97.6 degree. The patient has astrong non-productive cough and breath sound reveal loud coursecrackles throughout all lungs fields and scatter wheezing in themid and lower bases.
1.What form of humidity/bland aerosol device would this patientbenefit from and explain how you would set up this device for thepatient and what type of O2 interface would you use?
2.What would be this patient FiO2 and what would be your set O2flowrate and the total flowrate being provide by your O2device?
3.What would be your recommend to the doctor to help this patientwith his retain secretion and wheezing, and explain why you choosethis?