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What is the best next management step?
Which of the following is an indication to start Jeremy on NIV?
Jeremy weighs 70kg. What is the most appropriate initial setting to start the NIV on?
Jeremy’s initial gas on room air showed: His ABG on room air shows pH 7.25, pO2 7.1 pCO2 7.4
After being started on BIPAP with an IPAP 8, EPAP 2, with no supplemental oxygen, Jeremy’s repeat blood gas shows: pH 7.30, pO2 8, pCO2 8
What adjustment to the NIV settings will most improve his gas exchange?