A 64 year old 60 kg (132 lb) patient with COPD is receiving…
A 64 year old 60 kg (132 lb) patient with COPD is receiving mechanical ventilation. Current ventilatory settings, waveform and arterial blood gas results are as follows: Settings Parameters ABG Mode – AC Total rate – 15 pH – 7.29 Rate – 10 Ex.VT – 550 ml PaCO2 – 63 torr Set VT – 600 ml VE – 8.25 L/min PaO2 – 58 torr PEEP – 0 cm H2O PIP – 25 cm H2O HCO3 – 29 mEq/L FIO2 – 0.35 I:E – 1:6.2 BE – +5 mEq/L PIF – 60 lpm On auscultation the patient is wheezing bilaterally and SpO2 at 90 %. Which of the following should the respiratory therapist do?