A 5 foot, 2 inch female patient on mechanical ventilation has an ABG that shows a pH 7.52, PaCO2 30 mm Hg, PaO2 147 mm Hg, and HCO3− 23 mEq/L on assist-control ventilation with a rate of 18/min, VT 500 mL, FIO2 0.40, and PEEP +8 cm H2O. The total rate is 22/min. Which change will help normalize the pH?
A) Decrease the rate to 14/min.
B) Decrease VT to 8 mL/kg.
C) Administer 1 ampule bicarbonate.
D) Administer a paralytic medication.
Correct Answer:
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