[Solved]: a motor vehicle crash victum arrives at the…

a motor vehicle crash victum arrives at the hospital via ambulance. the 37 year old woman has sustained a closed head injury. physical assessment reveals a pulse of 145 beats/min., RR 32 breaths/min, and blood pressure of 155/97 mmHg. her neck veins are distended and she is diaphoretic. she is 68 inches tall and weighs 178lbs. the patient has no history of cardiac or respiratory diesease. The patient has an oral airway in place wiht a weak gag reflex. on 60% oxygen, the arterial blood gas is pH- 7.22, PaCO2 64mmHg, 78mm Hg, SaO2 92% and HCO3- 25mEq/L. what type of respiratory failure appears to be present in this patient? what acide-base imbalance is present? what type of mechanical ventilatory support may this patient benifit from? what are the appropriate parameters for this patient, including minute ventilation, tidal volume, inspiratory time, flow rate, and PEEP?