This patient was moved into a new room on a bubble cpap at 35%.Shortly after being in his new room he was in severe respiratory distress with desaturations into the 60s.The blender had been turned up to 100% without any improvement.The nurse practitioner was called to bedside and a stat chest xray was ordered.Md arrived at bedside.The patient had to receive emergency intubation, morphine, and atropine because he was decompensating so quickly.Once the patient was placed on the ventilator, he improved significantly and we were able to wean his oxygen.We decided to check the blender with an fio2 analyzer and found that this patient's blender does not deliver any oxygen over 21%.It is unclear how long this equipment has been broken or how many patients have been affected negatively from it and received unnecessary treatments because of it.Fda safety report id# (b)(4).
|