When performing nasal tracheal suctioning and PVCs are observed, what should the therapist do first?

• A. Monitor the patient carefully
• B. Recommend administration of Lidocaine
• C. Decrease the suction pressure
• D. Discontinue suctioning

Answer: (D)

When observing premature ventricular contractions (PVCs) during nasal tracheal suctioning, the immediate priority is to ensure the safety and well-being of the patient. The correct course of action is to discontinue suctioning. This is crucial because suctioning can stimulate the vagus nerve, leading to changes in heart rhythm, which can be particularly concerning in patients with underlying cardiac conditions or instability.

Ceasing the suctioning procedure allows for the restoration of normal respiratory function and reduces any additional stress on the cardiovascular system. This approach provides time to assess the patient further and determine the appropriate next steps in management. Subsequent actions can include monitoring the patient's vital signs, providing supplemental oxygen if needed, or further medical intervention depending on the patient's condition.