While Monitoring a Patient During a T Tube Weaning Trial

While monitoring a patient during a T tube weaning trial, you notice the following: increased patient agitation; increased heart rate (from 90 to 118/min) ; increased respiratory rate (from 17 to 33/min with some paradoxical motion) ; and premature ventricular contractions (PVCs) increasing to an average of 5/min. Which of the following actions would be appropriate at this time?

A) Reconnect the patient to the ventilator with prior settings.
B) Encourage the patient to relax, and continue careful monitoring.
C) Request that the patient be given a stat (immediate) bolus of lidocaine.
D) Request that the patient be given a strong sedative or hypnotic.

Correct Answer:

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