A 32-year-old woman is seen in the emergency department. She demonstrates paralysis of the lower extremities that is progressively worsening. After several hours, during which she was monitored frequently, her VC has decreased to 12 mL/kg and MIP is −29 cm H₂O. The results of blood gas evaluations are not yet available. What type of therapy is most likely needed?

Question

Quizplus · Accepted Answer

The patient's decreasing vital capacity (VC) and maximum inspiratory pressure (MIP) indicate respiratory muscle weakness, suggesting the need for mechanical ventilatory support to ensure adequate ventilation.

A 32-Year-Old Woman Is Seen in the Emergency Department