You are treating a 56-year-old man with CPAP. He has a history of congestive heart failure and is experiencing marked respiratory distress. When you reassess him, you note that he is no longer able to follow verbal commands. You should:
A. recheck the mask seal and adjust the amount of PEEP accordingly.
B. request a paramedic unit because the patient needs to be intubated.
C. remove the CPAP device and prepare to insert a supraglottic airway.
D. discontinue CPAP and assist his ventilations with a bag-mask device.
Ans: D. discontinue CPAP and assist his ventilations with a bag-mask device.
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