Motor Vehicle Accident
A 22-year-old man was admitted to the surgical ICU following a motor vehicle accident in which he suffered blunt chest trauma and a concussion. During his second day in the unit, his arterial blood gases began deteriorating (decreases in Pao2, increases in Pacaj, and he required increasing amounts of supplemental oxygen to maintain Pao2 levels of greater than 60 mm Hg. He was dyspneic, restless, and somewhat agitated. He verbalized a fear of impending death.
What signs and l}'Dlptoms of ARF is this patient exhibiting?
What intervention do you next anticipate baaed on his arterial blood gues?
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