You respond to a call for an unknown emergency at a residential address. On arrival at the scene,…

You respond to a call for an
unknown emergency at a residential address. On arrival at the scene, you are
directed to a 68-year-old female in her bedroom, lying supine in a hospital
bed. A loud beeping is coming from a mechanical ventilator sitting on a table
beside the patient’s bed. The ventilator is attached to a tracheostomy tube
placed in her trachea. She is not alert, and you hear rattling sounds of mucus
congestion coming from the ventilator circuit. The red light that is
illuminated on the ventilator is signaling a high-pressure alarm. The
distressed family on scene tells you
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You respond to a call for an
unknown emergency at a residential address. On arrival at the scene, you are
directed to a 68-year-old female in her bedroom, lying supine in a hospital
bed. A loud beeping is coming from a mechanical ventilator sitting on a table
beside the patient’s bed. The ventilator is attached to a tracheostomy tube
placed in her trachea. She is not alert, and you hear rattling sounds of mucus
congestion coming from the ventilator circuit. The red light that is
illuminated on the ventilator is signaling a high-pressure alarm. The
distressed family on scene tells you quickly that the patient just came home
from the hospital the day before. She was in the hospital because of a massive
stroke and was placed on the ventilator there. She was brought home so the
family could provide ongoing care, rather than placing her in a geriatric
facility. The family, however, is not very familiar with the mechanical
ventilator and became scared when it started to alarm.

1. What emergency care would you
provide during the primary assessment? 2. Based on the signs, what condition do
you suspect the patient is experiencing? 3. What in your opinion is causing the
ventilator to alarm? 4. What type of care would you provide to this patient to
support lost function? 5. Should this patient be transported to the hospital,
and if so, why?

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