I've been looking for some literature on how to reduce anxiety/desats during repositioning.
Just wondering... as I have to place the patient in the supine position for several minutes when repositioning, would it be a good idea to preoxygenate the patient beforehand? Especially since she desats during turning?
I also want to reassure the patient with a calm, soothing voice and explain what I am doing throughout.... but would preoxygenation be helpful? Or is preoxygenation limited to avoid oxygen toxicity?
Any ideas on this issue would be appreciated. Thanks for the help!
Thanks for all the replies. I can see the importance of providing pain meds before turning the patient, but the pt is already getting a fentanyl drip, titrated to the highest ordered level. Also, according to the person who was helping me turn the pt, her oxygen levels aren't dropping that much during turning -- she just hyperventilates and blood pressure rises... (I wasn't actually facing the monitor during the turns; the other nurse was...hence my confusion. Plus as a student, I was a little slow to ask the question...)....
We are explaining to the pt what we are doing, but the pt still gets pretty worked up.... Anyhow, I don't know if the suggestions given will work for this patient.... but I will definitely use them on others. Thanks again
Last edit by RNbethy on Oct 9, '12
: Reason: clarity