A 72-year-old patient with COPD is admitted to the ICU with…
A 72-year-old patient with COPD is admitted to the ICU with increasing shortness of breath, confusion, and accessory muscle use. The provider orders non-invasive positive pressure ventilation (NIPPV) using bilevel positive airway pressure (BiPAP). Which of the following findings indicate that NIPPV is effective?
Read DetailsA 55-year-old patient is admitted to the ICU with severe pne…
A 55-year-old patient is admitted to the ICU with severe pneumonia and develops acute respiratory distress syndrome (ARDS). The nurse notes the following assessment findings and diagnostic results: Respiratory rate: 32 breaths per minute Oxygen saturation: 85% on a non-rebreather mask Arterial blood gas (ABG) results: pH: 7.28 PaCO₂: 60 mmHg PaO₂: 55 mmHg HCO₃: 24 mEq/L Chest X-ray: Bilateral infiltrates (ground-glass appearance) Breath sounds: Diminished bilaterally The provider places the patient on mechanical ventilation with the following settings: Mode: Assist-Control (AC) Tidal volume: 500 mL FiO₂: 100% PEEP: 10 cm H₂O After one hour, the nurse reassesses the patient and notes persistent hypoxia (SpO₂ 87%) and worsening respiratory distress. Which of the following interventions should the nurse anticipate to optimize oxygenation in this patient? Select all that apply.
Read Details