A 28 year old man presents in the ER after being involved in…
A 28 year old man presents in the ER after being involved in an MVA. The patient sustained multiple rib fractures bilaterally. Vital Signs: Spontaneous Ventilatory Parameters HR 120 Vt 200 BP 160/100 VC 500ml Temp 98C. Blood Gas results on RA 7.21/75/50/26/84%. Thirty minutes after initiating mechanical ventilation, the following ABG’s are obtained on 40% 7.29/58/160/25/99% Which of the following would be MOST appropriate interventions for this patient?
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