A patient is switched from PRVC to SIMV mode, rate of 10/min…
A patient is switched from PRVC to SIMV mode, rate of 10/min, VT 350 ml, fi02 0.40, PEEP 5 cmH20, Pressure Support 8 cmH20, I-time is 1.0 second in which she had a comfortable work of breathing. After the switch, here are the ventilator parameters: PIP 36 cmH20, PPlat 20 cmH20, spon VT 200 ml’s, total RR 35/min, I:E 1:1, Ve 11.5 L. Patient Assessment: increased work of breathing with paradoxical respirations noted. Abg’s: pH 7.38, paC02 43 torr, pa02 65 torr, HC03 22 meq/L, B.E. -What could you attribute this clinical picture to?