A patient with COPD and pneumonia has been on the ventilator for seven days. The IAP has risen to 19. Which steps are appropriate concerning the patient's care?

The correct response takes into account that the patient with COPD and pneumonia is experiencing increased intra-abdominal pressure (IAP), which can lead to significant complications, especially in a ventilated patient. An IAP of 19 is concerning as it can indicate abdominal compartment syndrome, which may require careful management.

Increasing mobility is beneficial for ventilated patients because it can help improve respiratory function and circulation while also promoting gastrointestinal motility, which can help reduce IAP. Monitoring remains crucial to ensure that any changes in the patient's condition are promptly identified and addressed.

When it comes to enteral feedings, adjusting the amount can also be significant. Overfeeding can contribute to elevated IAP, whereas ensuring adequate nutrition while being mindful of the volume can help manage this condition.

Assessing responsiveness to diuretics may not be directly relevant in this scenario since the focus is on managing the increased IAP through other means. Diuretics are not typically the primary intervention for managing high IAP unless fluid overload is directly contributing to the problem, which may not be evident or relevant given the patient's context.

Overall, the combined steps of increasing mobility, adjusting enteral feedings, and continuing to monitor the patient’s condition are appropriate responses to manage the increased intra-abdominal