A patient is receiving non-invasive positive pressure ventil…

A patient is receiving non-invasive positive pressure ventilation (NIPPV) at the following settings:     IPAP: 25 cmH2O                ABG results are: pH: 7.49     EPAP: 5 cmH2O                                           CO2 29 torr                                                                                                                                                                  Rate: 10 br/min                                            O2 110 torr                                                                           HCO3 25 mEq/L                                                                           SaO2 98% Which of the following should the therapist recommend?

A 80 kg (176 lb) patient with pulmonary fibrosis is being me…

A 80 kg (176 lb) patient with pulmonary fibrosis is being mechanically ventilated with a volume-controlled ventilator at the following settings: Mode: VC/SIMV     VT: 650 mL       Mandatory rate: 15   Total rate: 15     FIO2: 0.45      PEEP: +10       I:E Ratio: 1:2     PIP: 50 cmH2O        Arterial Blood Gas analysis reveals the following:                    pH: 7.36  PaCO2: 42 torr PaO2: 55 torr HCO3-: 23 mEq/L SaO2: 88% The respiratory therapist should recommend:

A 72-year-old patient with COPD who has acute-on-chronic res…

A 72-year-old patient with COPD who has acute-on-chronic respiratory failure is supported with noninvasive ventilation. The patient is becoming more confused. Blood gas values are as follows:  PaO2 = 46 mm Hg, PaCO2 = 77 mm Hg, pH = 7.22, and HCO3− = 22 mEq/L.                                     Which of the following would be an appropriate treatment for this patient?