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[Verified Answer]: A 30-year-old female who is HIV positive is…

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A 30-year-old female who is HIV positive is admitted to the medical ICU for acute hypoxemic respiratory failure. The patient is being supported with mechanical ventilation via endotracheal tube requiring FI02 60 % and a PEEP of 8 cmH20 in volume control mode. The patient’s x-ray shows bilateral alveolar airspace opacities that are consistent with ARDS, pulmonary edema, or multifocal pneumonia. The physician taking care of the patient would like to perform a bedside flexible bronchoscopy for the purpose of clarifying the diagnosis. What is the main concern going into this procedure? Oxygenation or Ventilation What alarms will sound once the procedure starts? How do you correct them? What should be done to the FiO2 during the procedure? What vital signs should be monitored? What equipment might you need in the room or nearby? What is the difference between rigid and flexible bronchoscopies? Which is the most common?

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