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A Patient Is Intubated Due to an Acute Exacerbation of Chronic

Question 16

Multiple Choice

A patient is intubated due to an acute exacerbation of chronic obstructive pulmonary disease (COPD) .The patient is now breathing with pressure support ventilation 5 cm H₂O and continuous positive airway pressure (CPAP) 5 cm H₂O.The patient is unable to flow trigger every inspiration.Unintended positive end-expiratory pressure (auto-PEEP) is measured at 10 cm H₂O.The most appropriate action to take is which of the following?


A) Decrease the CPAP to 3 cm H₂O.
B) Increase the CPAP to 8 cm H₂O.
C) Increase pressure support to 10 cm H₂O.
D) Change the flow trigger setting to 1 L/min.

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