You are rounding on a ICU patient who has been on the ventilator for the past 4 days due to respiratory failure from community acquired pneumonia. She has been gradually weaned down to the following settings:
Pressure Support Mode
PEEP – 6 cmH2O
Pressure Support – 8 cmH2O
Oxygen – 0.40
She is A&Ox3 and follows commands. Vital signs show BP – 122/72 mmHg, HR – 78, RR – 15, O2 – 100%, Temp – 99.8.
- What is your next step?
- What bedside measurements or tests can you do to help with your decision?