A patient with ARDS receiving ventilatory support with PEEP through a volume-cycled ventila-tor 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.


ANS: B
An SaO2 of 88% to 90% may be acceptable for patients who need an FiO2 of 0.80 or more for an extended time.

Health Professions

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