You are caring for an infant with RDS. Nasal CPAP has been used; however, the infant sudden-ly deteriorates and is demonstrating severe hypoxemia on an FiO2 of 0.60. What should be done next?
a. Increase the CPAP.
b. Intubate the infant and begin mechanical ventilation.
c. Switch to nasal CPAP.
d. Increase the FiO2.
ANS: B
Mechanical ventilation with PEEP should be initiated if oxygenation does not improve with CPAP or if the patient is apneic or acidotic.
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