You respond to the home of a 17-year-old-male because his father was unable to wake him. The father states that his son was at a party last night and has a history of recreational drug use. He is unconscious and unresponsive. BP is not obtainable, pulse 42 and weak, and respirations of 4. You have orally intubated the patient. Auscultation of lung sounds post intubation reveal breath sounds heard over the right chest and an absence of breath sounds over the left chest. Your next action would be to
(A) hyperventilate the patient and reassess lung sounds.
(B) deflate the endotracheal tube cuff, withdraw the tube 2 cm and reevaluate breath sounds, and reinflate the cuff.
(C) deflate the endotracheal tube cuff, remove the endotracheal tube, and hyperventilate the patient with a bag-valve device.
(D) observe the patient and monitor his SpO2 reading for several minutes.
Answer: (B) deflate the endotracheal tube cuff, withdraw the tube 2 cm and reevaluate breath sounds, and reinflate the cuff.
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