ACLS Resuscitation Quality Improvement (RQI) Practice Test

A high PETCO2 level during respiratory distress indicates that there is inadequate ventilation and potential hypoventilation occurring in the patient. In this context, measuring end-tidal carbon dioxide (PETCO2) levels allows for the assessment of how effectively carbon dioxide is being eliminated from the body through respiration.

A PETCO2 level of 44 mmHg is typically considered near the upper limit of normal (which ranges from 35 to 45 mmHg) and indicates that the patient may be retaining carbon dioxide due to respiratory distress or failure. When the body is unable to expel carbon dioxide effectively, it can lead to acidosis and other complications.

In contrast, levels lower than 35 mmHg would indicate hyperventilation, where the patient is expelling carbon dioxide at a higher rate than it’s being produced, while levels above 45 mmHg suggest hypoventilation and CO2 retention, which is often seen in respiratory distress scenarios. Therefore, a PETCO2 reading of 44 mmHg is significant as it indicates a potential issue with ventilation that requires immediate attention.