| a. Skip Plan A if a patient is already on PSV/Continuous positive airway pressure (CPAP) |
| b. Change mode from Assist Control to PSV/CPAP |
| c. Preset PSV by calculation ¾ of current PIP. Do not exceed 20 cm of H2O. Switch modes. Obtain ABG and consult with a physician for further orders if abnormal. |
| d. The patient’s respiratory rate should be in the range of 12-40 breaths per minute |
| e. Tidal volume greater than 5 ml/kg |
| f. Maintain current minute volume |
| g. Continue to plan B the same day, if appropriate |
| h. If unable to maintain the AC mode for 3-5 days, go to plan D and evaluate for intermittent sedation. |