After 30 minutes on mechanical ventilation, an ABG was obtai…

After 30 minutes on mechanical ventilation, an ABG was obtained with the following results:pH 7.25                              Tot f – 20PaCO2 – 65 mmHg            PIP – 40 cm H2OPaO2 – 450 mmHg            SpO2 – 100%HCO3 – 26 mEq/L            BE – (+1)                  HbO2 – 99%                  What would you do at this time?I.      Increase minute volumeII.      Decrease PEEPIII.      Increase SensitivityIV.      Decrease FIO2

The next day the patient is placed on spontaneous weaning pa…

The next day the patient is placed on spontaneous weaning parameters of CPAP of 5 cm H2O and PSV of 6 cm H2O. What weaning data will help you determine if the weaning trial has been met for extubation?I.      VC > 10 ml/KgII.      Spontaneous VT < 5 ml/KgIII.      Maximum inspiratory pressure – 30 cm H2OIV.      Rapid shallow breathing index of 110

The next day laboratory data are available from AM draws wit…

The next day laboratory data are available from AM draws with the following: Hb – 15 mEq/L Na – 138  BUN – 13 Hct – 45% K – 3.9 Creatinine – 0.8 WBC – 16,000 Cl – 99 Plt – 200 CO2 – 30 Glu- 85   Patient still has bilateral wheezing with bilateral I:E rhonchi and crackles. ETS for moderate amount of semi thick yellow secretions. Sputum cultures returned with positive growth. Vitals are:Pulse – 120Resp rate – 32BP – 130/88SpO2 – 91%   What would you recommend at this time to resolve these problems?