College

A patient who is orally intubated requires frequent endotracheal suctioning through an 8.0 ET tube with a 12 Fr. catheter at a suction pressure of 135 mmHg. During suctioning, the following ECG tracing can be seen on the monitor.

Which of the following should the respiratory therapist recommend?

a) Decrease suction pressure
b) Increase suction pressure
c) Change to a smaller catheter size
d) Continue current suctioning protocol

Answer :

Final answer:

The respiratory therapist should recommend decreasing the suction pressure when an abnormal ECG tracing is observed during endotracheal suctioning to prevent cardiac rhythm disturbances and other complications. the correct option is a) Decrease suction pressure.

Explanation:

When a patient requires endotracheal suctioning and exhibits abnormal ECG tracing during the process, the respiratory therapist should first consider whether the current suctioning protocol is appropriate or whether adjustments are necessary to prevent potential complications such as cardiac rhythm disturbances.

The appropriate recommendation in this scenario would be to decrease suction pressure because excessive pressure can lead to irritation of the airway and cardiac tissue, possibly triggering arrhythmias or other negative cardiovascular effects.

It's essential to monitor a patient closely and adjust suction protocols as needed to maintain both effective airway clearance and patient stability. Adjusting the suction pressure to a safe range helps in minimizing these risks. Therefore, the correct option in response to the question would be a) Decrease suction pressure.