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A neonatal patient with respiratory syncytial virus (RSV) is receiving mechanical ventilation in the pressure control mode with the following current settings: PIP, 14 cm H2O; PEEP, 5 cm H2O; Fio2, 0.50; respiratory rate, 28 breaths/minute. The patient has poor chest rise bilaterally, and breath sounds are underaerated with faint wheezes bilaterally. You notice that the measured tidal volume is 3 mL/kg and the respiratory rate is 80 breaths/minute. The patient has nasal flaring, retractions, and head bobbing. What should be suggested at this time? A. Placing the patient on a high-frequency oscillator B. Suctioning and then increasing PIP C. Decreasing the respiratory rate D. Using a neuromuscular blocking agent
SCIENCE
HEALTH SCIENCE
NURSING

 
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