You are taking care of a 3 month old infant who was intubate…

You are taking care of a 3 month old infant who was intubated for pneumonia in the PICU. The nurse calls you with the blood gas listed below. The patient is being ventilated with pressure ventilation (otherwise known as PSIMV). You walk to the bedside to assess the patient and note that the effective tidal volumes the patient is receiving are 8/kg. What is the best ventilatory adjustment to improve ventilation at this time?    pH: 7.28 C02: 68 PO2: 100 Base Excess of 1

You are taking care of a 3yr old patient who went to the OR…

You are taking care of a 3yr old patient who went to the OR for VSD closure today. At the end of the case the patient was still very sedated so he was brought to the ICU mechanically ventilated. He has started to wake up some and the nurse calls you with the blood gas listed below. He is on Volume ventilation with set tidal volume of 8/kg, ventilatory rate is set at 24 and he is on room air. What is the best ventilatory change to make at this time based on the blood gas?   pH: 7.52 C02: 32 P02: 98 Base Excess: 6