During an optimal PEEP study, a mechanically ventilated pati…

During an optimal PEEP study, a mechanically ventilated patient’s PEEP was increased to 8 cm H20 with no obvious adverse reactions. Thirty minutes later, the PEEP was increased to 12 cm H20. Immediately thereafter, his heart rate increased by 24 beats/minute. His blood pressure decreased from 116/90 mm Hg to 108/74 mm Hg. What should be recommended?

A 47-year-old man with chronic kidney disease comes to the c…

A 47-year-old man with chronic kidney disease comes to the clinic for a 3-month follow up appointment. At his last visit, his eGFR was 32mL/min/1.73m2.  Today his eGFR is 50 mL/min/1.73m2.  What is the classification of his chronic kidney disease at this visit?