Final answer:
The immediate action in this situation would be to provide emergency medical care to the patient. The patient's shallow breathing and low oxygen saturation level (Spo2 of 81% on room air) indicate respiratory distress. Given the information provided about the patient's tracheostomy tube and nonverbal state, it is crucial to ensure the airway is clear and provide immediate intervention to support breathing.
Step-by-step explanation:
The immediate action in this situation would be to provide emergency medical care to the patient. The patient's shallow breathing and low oxygen saturation level (Spo2 of 81% on room air) indicate respiratory distress. Given the information provided about the patient's tracheostomy tube and nonverbal state, it is crucial to ensure the airway is clear and provide immediate intervention to support breathing.
First, the tracheostomy tube should be assessed for any signs of blockage or dislodgment. If there is an obstruction or any concerns regarding the tube's placement, it should be addressed immediately by a healthcare professional.
Simultaneously, the patient should be given supplemental oxygen to increase their oxygen levels and help improve their breathing. Administering oxygen through a non-rebreather mask can be effective in this situation. This will help improve the patient's oxygen saturation levels and prevent further hypoxia.