A 85 kg, 45 year old male sustained a lung contusion during…
A 85 kg, 45 year old male sustained a lung contusion during a crash following a high speed chase. He is receiving Vecuronium bromide (Norcuron) for neuromuscular blockage and Lorazepam (Ativan) for sedation. He has been receiving pressure-controlled ventilation for 48 hours and following data are available:Mode SIMVFIO2 0.70Set rate 15Exhaled tidal volume 600 mlPEEP 20 cm H2OPIP 38 cm H2OInspiratory time 1.0 secpH 7.30PaCO2 50 torrPaO2 45 torrHCO3 23 mEq/LBE -3 mEq/LWhich of the following should the respiratory therapist increase first?
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