You are taking care of a 14 y/o with status asthmaticus. He…
You are taking care of a 14 y/o with status asthmaticus. He is currently intubated and sedated and being treated with continuous albuterol, steroids, and a cisatracurium and ketamine infusion. His current ventilator settings show a PIP of 36, PEEP of 5, TV 6 cc/kg, RR of 12, iTime 1.5, and FiO2 of 45%. A plateau pressure is measured and is 22. His most recent arterial blood gas is 7.08/80/65 and his EtCO2 reads 50. What would be the most appropriate next step in managing this patient?