A 28-year-old man with botulism poisoning is beginning to develop progressive paralysis.The respiratory therapist has been monitoring the patient's MIP and VC every 2 hours.The most recent results show that the patient continues to deteriorate: MIP = -27 cm H₂O,VC = 32 mL/kg.Which of the following could be appropriately recommended?
A) Gastric lavage
B) Oxygen therapy
C) Medication to reverse the paralysis
D) Mechanical ventilatory support

Question

Quizplus · Accepted Answer

The critical values for the parameters listed are: maximum inspiratory pressure (MIP)-20 to 0; vital capacity (VC)<10-15 mL/kg ideal body weight (IBW); alveolar to arterial partial pressure [P _(A-a) O₂ ] >450 on O₂; and maximum expiratory pressure (MEP)<40 cm H₂O.This patient's condition is worsening and requires mechanical ventilatory support.

A 28-Year-Old Man with Botulism Poisoning Is Beginning to Develop