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Question
The respiratory therapist is called to the bedside of a patient who is receiving volume-controlled ventilation. Upon entering the room you notice the high-pressure limit is alarming with every breath and the low-volume alarm is activated. The nurse informs you that the patient had a pulmonary artery catheter inserted in the right subclavian vein 34 minutes prior. Upon assessment the therapist notes unilateral expansion and diminished breath sounds in the right upper lobe. There is no tracheal deviation present. Heart rate is 102/min, RR 20/min, and BP 120/64. What is the most appropriate recommendation at this time?
Monitor the patient for improvement in condition for the next 30 minutes Emergency needle decompression CXR and possible chest tube insertion STAT ABG.
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