A patient with ARDS receiving ventilatory support with PEEP through a volume-cycled ventilator has a plateau pressure of 38 cm H2O. ABGs on 55% O2 are as follows: pH = 7.44; PCO2 = 37 mm Hg; HCO3- = 25 mEq; PO2 = 55 mm Hg; SaO2 = 88%. Which of the following would you recommend?
A) Increase the PEEP level.
B) Make no changes.
C) Reduce the VT.
D) Increase the FIO2.
Correct Answer:
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