An 18 year old 5’6”, 125 lb female patient was admitted to t…
An 18 year old 5’6”, 125 lb female patient was admitted to the MICU 2 days ago for spinal meningitis. She developed sepisis and suffered hypercapnic respiratory failure. The patient was intubated and placed on VC-CMV, f = 12, Vt = 600 mL, PEEP 5 cmH2O, FiO2 40%. Twenty-four hours later, the patient’s oxygen need drastically increased, lung compliance decreased and CXR developed bilateral fluffy infiltrates. The most appropriate action to take include which of the following?
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