A patient currently weaning from ventilatory support was giv…

A patient currently weaning from ventilatory support was given Fentanyl (Sublimaze) due to pain. Current parameters are as follows: Mode – SIMV Total Rate – 5 breaths/min HR – 115 bpm Rate – 4 breaths/min Exhaled VT  – 500 ml BP – 92/65 mmHg VT – 500 ml VE – 2.2 L/min SpO2 – 91% PEEP – 5 cm H2O FIO2 – 0.30 PSV – 6 cm H2O

A 5’10” male patient currently on BiPAP of 15/8 cm H2O with…

A 5’10” male patient currently on BiPAP of 15/8 cm H2O with an FIO2 0.60 has orders for intubation and CMV. ABG was obtained while on NPPV:   pH – 7.15 PaCO2 – 68 mmHg PaO2 – 48 mmHg HCO3 – 29 mEq/L BE – +4 mEq/L   What settings should be recommended for this patient?