A mechanically ventilated patient with chronic obstructive pulmonary disease is in the process of being weaned from mechanical ventilation. A diet containing which of the following will be most beneficial to this process?
a. High protein, low fats, and carbohydrates
b. Low fats and proteins, high carbohydrates
c. Low carbohydrate with increased fats and proteins
d. Equal amounts of carbohydrates, fats, and proteins
ANS: C
Diets with a high percentage of carbohydrates will raise the amount of carbon dioxide (CO2) a patient produces. This will overburden a patient with limited ventilatory reserves, as with chronic obstructive pulmonary disease (COPD). The added CO2 is greater than the patient's ventilatory capacity, and when attempting to maintain spontaneous breathing the patient will fail to wean.
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