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A female was admitted to the ICU yesterday due to acute onse…

Posted byAnonymous November 9, 2025November 10, 2025

Questions

A femаle wаs аdmitted tо the ICU yesterday due tо acute оnset of dyspnea and hypoxemia secondary to pneumonia. Last night, the patient required emergent intubation due to hypoxemic respiratory failure. The patient is now on full ventilatory support, PEEP of 8 cmH2O, and a 0.75 FiO2. This morning’s radiologic and laboratory results reveal the following: Influenza A and B:  positive CXR:  presence of diffuse, bilateral opacities worsened from previous exam consistent with pneumonia; ETT adequately positioned. There is no evidence of heart failure, cardiomegaly,  or pleural effusions. No other active disease processes are present. ABG:  pH 7.32    PaCO2 50 mmHg    PaO2 50 mmHg    HCO3- 24 mEq/L   What should you recommend?

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