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 DetailsA 58-year-old patient with acute respiratory failure due to…
A 58-year-old patient with acute respiratory failure due to pneumonia is being prepared for endotracheal intubation. The nurse is assisting the provider with the procedure. Which of the following actions is the nurse’s priority before intubation?
Read Details