The Bureau of Natural Resources, a U.S. government agency, p…

The Bureau of Natural Resources, a U.S. government agency, put out a contract for 45,000 document copiers. It stipulated in the contract letter that preference would be given to a bidder for whom at least 51 percent of the materials by value in the copier were produced in the U.S. This contract provision is covered by the

A 65 kg patient has been mechanically ventilated in the ICU…

A 65 kg patient has been mechanically ventilated in the ICU for 6 days following  sepsis and respiratory failure. She is on the GE CareScape with the following settings with an ABG as shown here:Mode: SIMV-PC                                FiO2:   0.50Mandatory Rate: 20 bpm                    Mandatory Vt:  390 mLTotal Rate:  22 bpm                            Spontaneous Vt: 250 mL                    PS:  5 cmH2O                                     Pinsp:  16 cmH2OPEEP:  10 cmH2O ABG:  pH 7.29/ PaCO2 52/ PaO2 66/ HCO3 24 The best ventilator setting change to lower the PaCO2 for this patient is to