An invasively ventilated patient with ARDS is on PC-CMV,PIP = 30 cm H₂O,PEEP = 12 cm H₂O,FɪO₂ = 1.0.The patient's returned Vᴛ is 320 mL.The ABG results on these settings are: pH 7.3,PₐCO₂ 53 mm Hg,PₐO₂ 62 mm Hg.The patient is placed in the prone position,and after 1 hour,ABG results show: pH 7.38,PₐCO₂ 46 mm Hg,PₐO₂ 83 mm Hg.The respiratory therapist should do which of the following?
A) Keep the patient in the prone position.
B) Place the patient in the supine position.
C) Keep the patient in the prone position and decrease the FɪO₂.
D) Place the patient in the supine position and decrease PEEP.

Question

Quizplus · Accepted Answer

This patient has shown a positive response to the prone position; therefore,the patient can be maintained in this position for 2-12 hours.A reduction in the FɪO₂ would be appropriate,because the level is at 1.0.

An Invasively Ventilated Patient with ARDS Is on PC-CMV,PIP =