What should you do if mucus is present in the airway of a patient on a ventilator?

When mucus is present in the airway of a patient on a ventilator, the best initial action is to encourage the patient to cough and deep breathe, potentially after turning them to facilitate movement of secretions. This approach helps to mobilize the mucus in the airways, making it easier for the patient to expel it naturally.

Coughing stimulates the clearance of secretions and deep breathing promotes better ventilation and improves oxygenation. This method can often prevent the need for more invasive measures, such as suctioning, which can irritate the airway and increase discomfort or complications. It is crucial to approach airway management with techniques that are least invasive while still effectively addressing the issue of mucus blockage.

Other options present choices that either react too quickly without attempting less invasive methods first or introduce risks associated with discontinuing mechanical support. Thus, starting with turning the patient, encouraging coughing, and promoting deep breathing aligns with best practices for airway management in ventilated patients.