In the management of a patient with elevated ETCO2, what intervention is recommended?

When managing a patient with elevated end-tidal carbon dioxide (ETCO2), the recommended intervention is often to secure the airway through endotracheal intubation. Elevated ETCO2 is indicative of hypoventilation or inadequate gas exchange, which can result from various conditions such as respiratory failure, severe asthma exacerbations, or cardiac arrest.

Endotracheal intubation allows for controlled ventilation, ensuring that the patient receives adequate oxygenation and carbon dioxide elimination. By establishing an airway and facilitating mechanical ventilation, caregivers can more effectively manage the patient’s respiratory status and prevent further deterioration.

In contrast, monitoring vital signs is essential in overall patient management but does not directly address the cause of elevated ETCO2. Administering bronchodilators may be appropriate in specific cases, such as bronchospasm, but does not universally correct elevated ETCO2, especially when significant airway protection is needed. Similarly, performing chest compressions is indicated for cardiac arrest scenarios but does not address the immediate problem of elevated ETCO2 unless the patient is in that specific context. Hence, endotracheal intubation stands out as the most appropriate intervention to ensure effective ventilation and address the underlying issues indicated by the elevated ETCO2.