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Can you answer this question?

Posted

Specializes in Gas, ICU, ACLS, PALS, BLS. Has 5 years experience.

Directly after surgery an intubated patient rolls into your SICU from the OR. Upon arrival, O2 sat is 70% and the waveform is good so you know the pulse oximeter is reading correctly. What do you do FIRST?

RN1980

Specializes in icu/er.

make sure the o2 is on while the pt is being bagged.

Call you coworkers over to help.

TigerGalLE, BSN, RN

Specializes in ICU, Med/Surg.

make sure the o2 is on while the pt is being bagged.

agreed

1) Call for help

2)Ask anesthesia what the hell is the deal

3) O2 turned on?

4)Assess your pt. Is the tube right main stem? Is it still where anesthesia had it taped? Are there breath sounds? Is chest rise symmetrical? Is the tube in the belly? +end-tidal CO2?

5) Is there a pneumo? Is the trachea midline? How much PEEP are they on?

6) Did they receive methylene blue IV?

7)What kind of surgery did they have

8) What was the baseline spo2 pre-op and intra-op?

9)Has somebody called RT and critical care?

goodgrief

Specializes in Gas, ICU, ACLS, PALS, BLS. Has 5 years experience.

all of you are partially right, but meandragonbrett has the best answer......listen to breath sounds to make sure they're equal and chest rise is symmetrical, ETT could be lodged in right main stem