A 50-kg (110-lb) 30-year-old female patient has myasthenia gravis. Bedside spirometry has found her VC to be 700 mL and NIF –14 cm H2O
Vital signs show a respiratory rate of 38 breaths/min, a heart rate of 140/minute, and blood pressure of 130/90 mm Hg. What should the respiratory therapist recommend?
a. Check the vital signs every hour.
b. Encourage DB&C per protocol.
c. Administer supplemental oxygen per protocol.
d. Initiate mechanical ventilation per protocol.
D
Based on the VC and NIF results, ventilatory failure is impending. Mechanical ventilation should be initiated.
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