An oncology patient with DNI orders is receiving NIV from a critical care ventilator with a…

An oncology patient with DNI orders is receiving NIV from a
critical care ventilator with a full-face mask. The ventilator is set in the
PSV mode. Peak inspiratory pressure is 15 cm H2O, PEEP is 5 cm H2O,
and flow trigger is 2 L/min. The patient has a nasogastric tube in place that
is causing a large leak. The ventilator is self-triggering and fails to cycle
into expiration when the patient exhales. The patient is dyspneic and appears
uncomfortable.

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