Question

The respiratory therapist is called to ICU to evaluate a patient on continuous flow CPAP (8 cm H2O, FIO2 0.30) who is showing signs of respiratory distress. The patient's SpO2 has changed from 94% to 90%. The therapist observes that the CPAP pressure manometer displays negative pressure during inspiration. The therapist should

A. place the patient back on the ventilator at the previous settings.
B. increase inspiratory flow to the CPAP system.
C. assess the patient for excess secretions.
D. increase the CPAP to 10 cm H2O.

Answer 1

C. assess the patient for excess secretions. The therapist should assess the patient for excess secretions.

Step-by-step explanation:

The therapist should assess the patient for excess secretions. Negative pressure during inspiration on the CPAP pressure manometer suggests that there may be an obstruction in the airway, such as excess secretions, that is preventing proper airflow. By assessing the patient for excess secretions, the therapist can determine if this is the cause of the respiratory distress. If excess secretions are identified, appropriate interventions can be taken, such as suctioning or bronchodilator administration, to help clear the airway and improve ventilation.