This morning, Jac switched back to low-flow on pure oxygen, instead of using the air blender. Soon after the switch over, his saturation climbed to 100% and his respiratory rate climbed into the 110's, setting off the alarms. At first, I was worried that he would need to go back to the blender; but after a little while, his respiratory rate settled back down, but his saturation was still high.
Because high oxygen saturation contributes to ROP, his oxygen flow was dialed down an hour later to 40ml/min. After the adjustment, his respiratory rate spiked again, and then eventually settled down.
The NNP pointed out that we shouldn't worry about his high respiratory rate, since he always seems to spike after an adjustment. Sure enough, he did fine the rest of the day.
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