Sixty minutes after a patient in the Coronary Care Unit (CCU…
Sixty minutes after a patient in the Coronary Care Unit (CCU) is extubated, an arterial blood gas sample is drawn; the results are: pH = 7.25, PaCO2 = 55 mm Hg, PaO2 = 58 mm Hg, SaO2 = 86%, HCO3– = 23 mEq/L on a 2 L/min nasal cannula. The patient is SOB, and the Respiratory Therapy records bilateral inspiratory crackles on auscultation. His blood pressure is 92/50 mm Hg. What is the most likely cause of this weaning failure?
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