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Multiple Choice

A patient with a recently replaced tracheostomy tube has shallow respirations and cyanosis. What is the immediate action?

When a patient with a recently replaced tracheostomy tube shows shallow respirations and cyanosis, the priority is to restore ventilation. Providing breaths with a bag-valve-mask delivers positive pressure and oxygen quickly, supporting tidal volume and improving oxygenation while you assess the airway for patency, dislodgement, or obstruction and take corrective steps. Bronchodilators address bronchospasm but don’t fix inadequate ventilation, and increasing IV fluids won’t rapidly resolve hypoxia. Intubating orally isn’t the immediate move when a tracheostomy tube is involved; first ensure effective ventilation through the airway access you have, using the bag-valve-mask.

When a patient with a recently replaced tracheostomy tube shows shallow respirations and cyanosis, the priority is to restore ventilation. Providing breaths with a bag-valve-mask delivers positive pressure and oxygen quickly, supporting tidal volume and improving oxygenation while you assess the airway for patency, dislodgement, or obstruction and take corrective steps. Bronchodilators address bronchospasm but don’t fix inadequate ventilation, and increasing IV fluids won’t rapidly resolve hypoxia. Intubating orally isn’t the immediate move when a tracheostomy tube is involved; first ensure effective ventilation through the airway access you have, using the bag-valve-mask.