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A Patient Is Receiving Mechanical Ventilation with a Fractional Inspired

question 52

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A patient is receiving mechanical ventilation with a fractional inspired oxygen (FIO2) of 0.85 and a positive-end-expiratory pressure (PEEP) of 5 cm H2O.His arterial partial pressure of oxygen (PaO2) is 68 mm Hg,arterial oxygen saturation (SaO2) is 88%,and partial pressure of end-tidal carbon dioxide (PetCO2) is 32 mm Hg.Over the next few minutes his PEEP is titrated resulting in the following data: A patient is receiving mechanical ventilation with a fractional inspired oxygen (F<sub>I</sub>O<sub>2</sub>) of 0.85 and a positive-end-expiratory pressure (PEEP) of 5 cm H<sub>2</sub>O.His arterial partial pressure of oxygen (P<sub>a</sub>O<sub>2</sub>) is 68 mm Hg,arterial oxygen saturation (S<sub>a</sub>O<sub>2</sub>) is 88%,and partial pressure of end-tidal carbon dioxide (PetCO<sub>2</sub>) <sub> </sub>is 32 mm Hg.Over the next few minutes his PEEP is titrated resulting in the following data:   At 0740 the single breath carbon dioxide curve (SBCO<sub>2</sub>) curve shifted to the right.What action should the respiratory therapist take at this time? A)  Increase the F<sub>I</sub>O<sub>2</sub> to 0.90. B)  Reduce the set tidal volume. C)  Continue to increase the PEEP. D)  Reduce the PEEP to 12 cm H<sub>2</sub>O. At 0740 the single breath carbon dioxide curve (SBCO2) curve shifted to the right.What action should the respiratory therapist take at this time?


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