When a patient pulls away a nonrebreathing mask stating it feels smothering, what should you do?

When a patient pulls away a nonrebreathing mask and expresses that it feels smothering, switching to a nasal cannula is a sound choice. Nonrebreathing masks can sometimes feel restrictive, especially if the patient is anxious or feeling claustrophobic. The nasal cannula allows for oxygen delivery while providing the patient with a more comfortable and less constricting option, which can help ease their distress.

Reassuring the patient during this transition is also important because it helps to alleviate any anxiety they may be experiencing. A nasal cannula still delivers supplemental oxygen effectively, albeit at a lower flow rate than a nonrebreathing mask, making it a suitable alternative for patients who are capable of breathing adequately on their own while allowing for more comfort.

Other options, such as applying a basic face mask or encouraging deep breathing exercises, might still maintain elevated levels of carbon dioxide and compromise oxygenation. Administering medication for anxiety may not be appropriate in an acute setting where the focus should be on immediate respiratory comfort and support. Thus, using a nasal cannula while reassuring the patient is an effective approach to managing their discomfort while ensuring oxygenation needs are met.