A Hemodynamically Unstable Patient Being Ventilated in the Volume-Controlled Continuous

question 27

Multiple Choice

A hemodynamically unstable patient being ventilated in the volume-controlled continuous mandatory ventilation (VC-CMV) mode is triggering inspiration at a rate of 25 breaths/min and has the following arterial blood gas results: pH 7.50,partial pressure of carbon dioxide (PₐCO₂) 30 mm Hg,partial pressure of oxygen (PₐO₂) 98 mm Hg,arterial oxygen saturation (SₐO₂) 100%,bicarbonate (HCO₃⁻) 24 mEq/L.The respiratory therapist should perform which of the following?

• A) Extubate and administer noninvasive positive pressure ventilation (NIV).
• B) Change the mode to pressure-controlled continuous mandatory ventilation (PC-CMV).
• C) Change the mode to volume-controlled intermittent mandatory ventilation (VC-IMV).
• D) Sedate and paralyze the patient.

---

Definitions:

Extreme Achievement

Accomplishments that go far beyond the usual or expected levels of success.

Perfectionism

The refusal to accept any standard short of perfection, often leading to high stress and anxiety.

Machiavellianism

A personality trait characterized by manipulation, deceit, and exploitation of others for personal gain.

Emotionally Detached

A state where an individual is not emotionally involved or influenced by emotions in a particular situation or towards others.