BigK8132 BigK8132

23-01-2024
Medicine

contestada

A 74-year-old male client is admitted to the intensive care unit (ICU) with a diagnosis of respiratory failure secondary to pneumonia. Currently, he is ventilator-dependent, with settings of tidal volume (VT) of 750 mL and an intermittent mandatory ventilation (IMV) rate of 10 breaths/min. Arterial blood gas (ABG) results are as follows: pH, 7.48; Paco2, 30 mm Hg; Pao2, 64 mm Hg; HCO3, 25 mEq/L; and Fio2, 0.80. Which intervention should the nurse implement first?
A. Increase the ventilator VT to 850 mL.
B. Decrease the ventilator IMV to a rate of 8 breaths/min.
C. Reduce the Fio2 to 0.70 and redraw ABGs.
D. Add 5 cm positive end-expiratory pressure (PEEP).

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