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An 80 kg (176 lbs), 5'9" adult male is orally intubated with an 8.0 mm endotracheal tube and a 12 Fr. catheter. During suctioning, the patient demonstrates sinus tachycardia with frequent PVCs on the EKG monitor. The therapist should do which of the following for future suction attempts?

a) Administer atropine before suctioning
b) Increase suction pressure
c) Shorten suction duration
d) Administer lidocaine before suctioning

Answer :

Final answer:

The correct action for the therapist to take when a patient exhibits sinus tachycardia and PVCs during suctioning is to shorten the suction duration to reduce cardiovascular stress and avoid arrhythmias.

Explanation:

An 80kg (176lbs), 5'9" adult male is orally intubated with an 8.0 MM endotracheal tube and a 12 FR. Catheter. During suctioning, the patient demonstrates sinus tachycardia with frequent PVCs (Premature Ventricular Contractions) on the EKG monitor. In response to this, the appropriate action for the therapist to take for future suction attempts should be to shorten the suction duration. This intervention can help to reduce the cardiovascular stress that may be causing the sinus tachycardia and PVCs, as well as minimize the patient's discomfort and potential for arrhythmias. Administering atropine or lidocaine may be considered in specific cases, but these drugs come with their own risks and should be used under the guidance of a physician. Increasing suction pressure is not appropriate as it may cause additional trauma to the airways.

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