help with simulation

[bymysoultosqueezeRN]

so we're having simulations at our school today and i was preparing for different scenarios and i have a little problem with CVA (we didnt really study about it yet) my patient is post R intracerebral bleed, has L hemiplegia and complete aphagia. He is receiving D5 1/2 NS at 40 ml and has tube feedings via NGT at 60 ml per hour. he is awake and lethargic and responsive to simple commands, when i enter the room he has moderate amount of dyspnea and is coughing frequently and skin is warm to the touch. I dont really know what can this be related to. I would rise the HOB to ease breathing and assess lung sounds, pulse Ox, and other vital signs but dont really know what i am looking for here. Any input anyone? I appreciate any help :bowingpur

[UM Review RN, ASN, RN]

Hint: what do you want to check with GT feeds related to coughing? What could be happening here?

[Jolie, BSN]

Along with the possible complications of tube feedings, what are the possible complications of immobility that would present with these symptoms?

[bymysoultosqueezeRN]

thanks guys, they didnt even go to that scenario but i think the pt was coughing because of the feeding, she was probably aspirating the gastric contents. anyways the patient i got was post thyroidectomy but started bleeding from the site and her pulse ox went down to like low 80s unfortunately i didnt really know what to do except to call rapid response :uhoh21:(should've gotten the ambu bag and tracheotomy tray (?) but it was a good experience, i learned a lot!