A Patient Is Intubated Due to an Acute Exacerbation of Chronic

question 13

Multiple Choice

A patient is intubated due to an acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD) .The patient is now breathing with pressure support ventilation 5 cm H₂O and continuous positive airway pressure (CPAP) 5 cm H₂O.The patient is unable to flow trigger every inspiration.Unintended positive-end-expiratory pressure (auto-PEEP) is measured at 10 cm H₂O.The most appropriate action is to take is which of the following?

• A) Decrease the CPAP to 3 cm H₂O.
• B) Increase the CPAP to 8 cm H₂O.
• C) Increase pressure support to 10 cm H₂O.
• D) Change the flow trigger setting to 1 L/min.

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Definitions:

Respiratory Status

An assessment of the efficiency and effectiveness of the respiratory system, encompassing measures such as rate, depth, rhythm of breaths, and oxygen saturation.

Therapeutic Touch

A form of alternative medicine based on the theory that healers can identify and manipulate the energy field surrounding a person to promote healing.

Energy Fields

In some holistic and alternative medicine practices, invisible fields believed to surround and penetrate the human body, influencing health and healing.

Hydromorphone

A potent opioid analgesic medication used to relieve moderate to severe pain.