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A cоnditiоn оften leаds to blindness due to elevаted intrаocular pressure
A 72-yeаr-оld mаle pаtient with acute respiratоry distress syndrоme (ARDS) is receiving mechanical ventilation in the ICU. Over the past three days, the respiratory therapist and nursing staff have observed a decline in the patient’s respiratory and hemodynamic status. The patient has been requiring higher ventilator settings and the peak inspiratory pressures have been increasing. The following data has been collected: Parameter Day 1 Day 2 Day 3 Urine Output (mL): 1000 800 600 Fluid Intake (mL): 2500 3000 3500 Net Fluid Balance (Intake - Output): 1500 2200 2900 Lung Compliance (mL/cm H₂O): 40 35 30 Peak Inspiratory Pressure (cm H₂O): 25 30 35 Mean Arterial Pressure (mm Hg): 85 80 78 CBC Parameter Day 1 Day 2 Day 3 White Blood Cell Count (K/µL): 11.2 13.8 13.5 Hemoglobin (g/dL): 12.5 12.2 11.8 Hematocrit (%): 36.8 35.5 34.2 Platelet Count (K/µL): 220 205 198 Renal Markers Day 1 Day 2 Day 3 Serum Creatinine (mg/dL): 1.2 1.5 1.8 Blood Urea Nitrogen (BUN) (mg/dL): 20 28 36 Estimated Glomerular Filtration Rate (eGFR) (mL/min): 70 58 50 Electrolytes Day 1 Day 2 Day 3 Sodium (mEq/L): 138 136 129 Potassium (mEq/L): 4.2 4.8 5.4 Chloride (mEq/L): 102 105 108 Bicarbonate (mEq/L): 22 21 20 Based on the data provided in the chart and the patient’s clinical presentation, what is the most likely cause of the patient’s declining condition?