Mr. Jones is 68-year-old male.  He was admitted to the step…

Mr. Jones is 68-year-old male.  He was admitted to the step down unit two days ago due to altered mental status (AMS) and a urinary tract infection (UTI).  He is currently on a 55% venti mask and is lethargic, with labored and shallow breathing.  His current labs and vital signs are as followed:   Vital Signs: HR 125 RR 28 BP 64/47 Sa02 90%   BBS: decreased aeration X-ray: no acute changes   ABG: pH 7.02 PCO2 88 PO2 52 HCO3 12 S02 88%   What mode of ventilation would you recommend for Mr. Jones?

An intubated patient begins  experiencing severe respiratory…

An intubated patient begins  experiencing severe respiratory distress, and the respiratory therapist auscultates no breath sounds and determines that there is no gas flow passing through the end of the ETT.  The high pressure alarm is sounding on the ventilator.  What is the most appropriate action?