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A patient has respiratory acidosis, what can be changed on vent during ACPC to correct ABG?

User Kladskull
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Final answer:

To correct respiratory acidosis in ACPC ventilation, increase the respiratory rate and adjust inspiratory pressure as needed, while monitoring for respiratory compensation through bicarbonate levels alterations.

Step-by-step explanation:

When a patient presents with respiratory acidosis, it indicates an excess of CO₂ in the blood, which can lead to a decreased blood pH level. In an Assist Control Pressure Control (ACPC) mode of ventilation, adjustments can be made to the settings on the ventilator to correct the arterial blood gas (ABG) levels. To increase the rate of CO₂ removal and improve respiratory acidosis, one would typically increase the respiratory rate (RR) and may also adjust the inspiratory pressure if necessary to ensure adequate ventilation while avoiding overdistension of the lungs. It is also essential to monitor the patient for evidence of respiratory compensation, which includes observing changes in bicarbonate levels, as the body attempts to restore the proper bicarbonate to carbonic acid/CO₂ ratio.

In some cases, addressing underlying issues causing respiratory depression, such as drug overdose or neuromuscular disorders, is equally important. The goal is to achieve a stable pH level within the normal range, ensuring adequate tissue oxygenation and carbon dioxide removal.

User Andrew Shatnyy
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