During shift report, the day shift respiratory therapist informs the night shift respiratory therapist about a freshly postoperative patient who is receiving full support via mechanical ventilation
At the time of the last patient-ventilator system check the patient had not awaken from anesthe-sia. During first round on the day shift the respiratory therapist notes the capnography shown in the figure. The most appropriate action to take would be to do which of the following?
a. Administer a bronchodilator.
b. Begin the weaning process.
c. Fix the leak in the sampling line.
d. Reinflate the ET tube cuff.
ANS: B
The figure shows a patient whose capnography is demonstrating spontaneous respiratory efforts during mechanical ventilation. This corresponds to the patient's waking up from anesthesia. With all else stable, the next step would be to begin the weaning process.
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