A Hemodynamically Unstable Patient Being Ventilated in the Volume-Controlled Continuous

Multiple Choice

A hemodynamically unstable patient being ventilated in the volume-controlled continuous mandatory ventilation (VC-CMV) mode is triggering inspiration at a rate of 25 breaths/min and has the following arterial blood gas results: pH 7.50,partial pressure of carbon dioxide (PₐCO₂) 30 mm Hg,partial pressure of oxygen (PₐO₂) 98 mm Hg,arterial oxygen saturation (SₐO₂) 100%,bicarbonate (HCO₃⁻) 24 mEq/L.The respiratory therapist should perform which of the following?

A) Extubate and administer noninvasive positive pressure ventilation (NIV) .
B) Change the mode to pressure-controlled continuous mandatory ventilation (PC-CMV) .
C) Change the mode to volume-controlled intermittent mandatory ventilation (VC-IMV) .
D) Sedate and paralyze the patient.