This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Calculate the Clinical Pulmonary Infection Score (CPIS) for a patient with the following ... (Read 77 times)

daltonest1984

  • Hero Member
  • *****
  • Posts: 536
on: Jul 16, 2018
Calculate the Clinical Pulmonary Infection Score (CPIS) for a patient with the following assess-ments: 56-year-old female, post motor vehicle accident, intubated, and mechanically ventilated for 4 days.
 
  Static compliance is 42 cm H2O/L. Tracheobronchial suctioning reveals a moderate amount of yellow secretions; culture and sensitivity are pending. Breath sounds reveal bilateral lower lobe coarse rhonchi. Chest radiograph shows diffuse infiltrates. Partial pressure of oxygen in the ar-teries (PaO2) is 72 mm Hg on 40 supplemental oxygen. Patient has a temperature of 39.2 C, and white blood cell count (WBC) is 12,800 L.
  a. CPIS = 5
  b. CPIS = 6
  c. CPIS = 7
  d. CPIS = 8

Question 2

Healthy individuals usually have which of the following bacteria in their upper airways?
 
  a. Haemophilus sp.
  b. Acinetobacter sp.
  c. Pseudomonas aeruginosa
  d. Staphylococcus aureus


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

tkempin

  • Sr. Member
  • ****
  • Posts: 332
Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: C
Using the CPIS criteria found in Table 14-2, the score is calculated as follows: Temperature of 39.2 C = 2 points; white blood cell (WBC) is 12,800 L = 1 point; secretions are present and nonpurulent = 1 point; partial pressure of oxygen in the arteries/fractional inspired oxygen (PaO2/FIO2) = 72/0.4 = 180 with no acute respiratory distress syndrome (ARDS) = 2 points; chest radiograph shows diffuse infiltrates = 1 point; and compliance and saturation in the blood phase (C & S) is pending = 0 point, for a total of 7 points.

Answer to Question 2

ANS: A
The upper airways of healthy individuals typically contain nonpathogenic bacteria, such as the viridans group of streptococci, Haemophilus sp., and anaerobes.


daltonest1984

  • Member
  • Posts: 536
Reply 2 on: Jul 16, 2018
Great answer, keep it coming :)

bimper21

  • Member
  • Posts: 309
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

Today, nearly 8 out of 10 pregnant women living with HIV (about 1.1 million), receive antiretrovirals.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Sharing patient information with colleagues is an important nursing role Sharing patient information with colleagues is an important nursing role
The Systemic and Pulmonary Circuits The Systemic and Pulmonary Circuits
Magnetic resonance imaging (MRI). The MRI lab includes the scanning instrument and a computer statio Magnetic resonance imaging (MRI). The MRI lab includes the scanning instrument and a computer statio
Bacterial Infection Bacterial Infection
How to calculate simple interest (Part 1) How to calculate simple interest (Part 1)
Calculate the distance from point R(17,5) to the line ... Round to the nearest tenth of a Calculate the distance from point R(17,5) to the line ... Round to the nearest tenth of a
Video: Phases of mitosis

For a complete list of videos, visit our video library