Your 41-year-old ventilator dependent patient needs transpor…

Your 41-year-old ventilator dependent patient needs transport to the emergency room for evaluation of a fever. He has a GCS of 7, which is his baseline. Vital signs are BP 132/90, P 112, R 20, SpO2 93% on 40% FIO2, and Temp 102.1 F. Your ambulance is not equipped with a ventilator and you have just removed him from his home ventilator and supply bag-valve ventilations with oxygen at 15 lpm. Vital signs are now BP 144/94, P 124, R 24, and SpO2 94%. Lung fields are clear and equal bilaterally. He is also agitated and breathing against the manual ventilations. You should administer