Question

As you are in the room checking the BIPAP, the patient states that she is nauseas...

As you are in the room checking the BIPAP, the patient states that she is nauseas and feels like she is going to vomit. What actions should you take?

Subject is Ventilation resp critical care

Science   Nursing   
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Answer #1

Answer:- Bilevel positive airway pressure (BIPAP). It is often used in the treatment of chronic obstructive pulmonary disease. If the patient on BIPAP complaints of nauseous

  • We should not allow eating or drinking anything while using BIPAP.
  • There is risk of aspiration if patient vomited.
  • Provide supine position head tilted at 30 degree, posture can prevent from aspiration.
  • If the patient feel nauseas reduce the pressure setting if not helpful stop BIPAP for sometime
  • Put patient on O2 mask.
  • subside the symptom by giving antiemetic
  • Psychological support can be provided
  • Assess for consciousness.
  • Monitor oxygen saturation and ABG. Arterial blood gas increasing Paco2 and decreasing PaO2 indicates for respiratory failure. If so notify to the physician.
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