A patient with chronic hypercapnea was extubated 2 days ago….
A patient with chronic hypercapnea was extubated 2 days ago. He is now recieving a trial of noninvasive positive pressure ventilation with the following settings:IPAP 18 cm H2OEPAP 10 cm H2OThe respiratory therapist notes that EPAP consistently falls below 10 cm H2O. Which of the following could contribute to this situation?I. Inspiratory flow is too highII. The head straps are too looseIII. The mask is too largeIV. A nasogastric tube is present
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