Q:

A 61-year-old male patient is post-abdominal surgery and has been on a high-flow nasal cannula at 20 L/min for three days. The patient’s ABG results are as follows:

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A 61-year-old male patient is post-abdominal surgery and has been on a high-flow nasal cannula at 20 L/min for three days. The patient’s ABG results are as follows:

pH 7.39

PaCO2 43 torr

PaO2 157 torr

SaO2 99%

HCO3 24 mEq/L

BE +2

Which of the following is the best action to take at this time?


  1. Decrease the flow
  2. Decrease the FiO2
  3. Decrease the flow and FiO2 together
  4. Switch to standard nasal cannula

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