A Preterm Neonate Is Being Supported with Nasal SiPAP

question 19

Multiple Choice

A preterm neonate is being supported with nasal SiPAP.The baseline CPAP level is set at 6 cm H₂O,the high CPAP level at 10 cm H₂O,the rate is 20 "sigh" breaths,and the F_IO₂ is 0.8.The baby's PaO₂ on these settings has been steadily declining and is now 48 mm Hg.The physician and respiratory therapist decided to use nasal HFV before intubating and using mechanical ventilation.The initial settings for NHFV for this patient should include which of the following?

• A) = 10 cm H₂O;frequency = 8 Hz;F_IO₂ = 1.0
• B) = 10 cm H₂O;frequency = 10 Hz;F_IO₂ = 0.8
• C) = 6 cm H₂O;frequency = 8 Hz;F_IO₂ = 0.8
• D) = 6 cm H₂O; frequency = 10 Hz; F_IO₂ = 1.0