An 82-year-old, 5 foot 1 inch tall female is mechanically ve…

An 82-year-old, 5 foot 1 inch tall female is mechanically ventilated following a fall in which she sustained a closed head injury. Two weeks later, intracranial pressure is within normal limits. She how has a 8.0 Shiley tracheostomy tube. Ventilator settings are: PS 8 cmH2O, PEEP +5, FiO2 0.35.  Assessment findings: Respiratory rate 8-32 and irregular with irregular pauses of 10-25 seconds, HR 82-95, SpO2 96%, Vt 230-500mL. During rounds, the doctor asks for your recommendation for the respiratory care plan for today?  Describe what your strategy will be for her care and support your reasoning.   Note: there are a few different options for her management today, depending on a conservative or aggressive strategy