Critical Care Question

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.

 

  1. What is your next step?
  2. What bedside measurements or tests can you do to help with your decision?