A patient complaining of dyspnea and swollen extremities is…

A patient complaining of dyspnea and swollen extremities is in the ER has the following vitals and laboratory values: HR – 125 bpm Na – 145 mEq/L BUN – 45 mEq/L pH – 7.15 RR – 35 breaths/min K – 5 mEq/L Cr – 3.5 mEq/L PaCO2 – 30 torr BP – 145/90 mmHg Cl – 105 mEq/L PaO2 – 95 torr Temp – 37 c CO2 – 24 mEq/L HCO3 – 16 mEq/L What is likely the problem?

An adult male patient intubated with a 7.0 ETT is on CMV wit…

An adult male patient intubated with a 7.0 ETT is on CMV with the following settings: HR – 130 bpm Mode – AC Rate – 30 breaths/min Rate – 14 breaths/min BP – 150/95 mmHg VT – 550 ml SpO2 – 97% PEEP – 8 cm H2O FIO2 – 0.60 The patient is exhibiting chest retractions and use of accessory muscle of inspiration. What should the respiratory practitioner recommend at this time?