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

question 14

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/minute and has the following arterial blood gas results: pH 7.50,partial pressure of carbon dioxide (P_aCO₂) 30 mm Hg,partial pressure of oxygen (P_aO₂) 98 mm Hg,arterial oxygen saturation (S_aO₂) 100%,bicarbonate (HCO₃^-) 24 mEq/L.The respiratory therapist should peform which of the following?

• A) Extubate and administer Noninvasive Positive Pressure Ventilation (NPPV).
• B) Change the mode to Pressure-Controlled Continuous Mandatory Ventilation (PC-CMV).
• C) Change the mode to Volume-Controlled Synchronized Intermittent Mandatory Ventilation (VC-SIMV).
• D) Sedate and paralyze the patient.

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