A 10-year-old boy with a complex medical history including history of trisomy 21, intractable infantile spasms, seizure disorder, and developmental delay (nonverbal), is admitted with increased difficulty breathing. His temperature on admission is 101°F, and a chest x-ray shows a left lower lobe infiltrate consistent with pneumonia.
His home regimen includes nocturnal NIV via nasal mask with an inspiratory pressure of 8 cm H2O, 3 cm PEEP, and 2 L/min of O2 added to the breathing circuit.
On admission, the patient complains of shortness of breath. His respiratory rate is 40 breaths/min, and SpO2 is 88% on a nonrebreathing mask. What should the RT suggest?
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