During a closed suctioning procedure, the patient's heart rate changes from 95 to 58 beats/min. The respiratory therapist should take what immediate action?
a. Continue the procedure until secretions are removed.
b. Stop the procedure and switch to the open suctioning method.
c. Stop the procedure and use the ventilator to hyperoxygenate the patient with 100% oxygen.
d. Remove the patient from the ventilator and ventilate the person with a resuscitator bag.
ANS: C
Cardiac arrhythmias can occur during aggressive suctioning. Bradycardia may occur when the catheter stimulates vagal receptors in the upper airways. The procedure should be stopped and the ventilator should be used to hyperoxygenate the patient.
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