A term newborn was delivered with the amniotic fluid stained…
A term newborn was delivered with the amniotic fluid stained with blood due to PROM. Due to poor APGAR scores, the newborn was placed on ventilator support intubated with a 2.5 cuffless endotracheal tube. Current settings and blood gas values are as follows: Mode – SIMV Total rate – 70 Rate – 20 Exhaled VT – 4 ml Delta pressure – 15 cm H2O Spontaneous VT – 2 ml FiO2 – 0.45 PIP – 20 cm H2O PEEP – 5 cm H2O pH – 7.20 PaCO2 – 63 torr PaO2 – 49 torr HCO3 – 24 mEq/L BE – 0.2 mEq/L What should be done at this time?
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