If proning results in hemodynamic compromise or worsening ABG, what action should the therapist take?

Returning the patient to the supine position is the most appropriate action if proning leads to hemodynamic compromise or worsening arterial blood gases (ABG). Proning is often utilized to improve oxygenation and lung recruitment in certain patients, particularly those with acute respiratory distress syndrome (ARDS). However, if the patient exhibits signs of hemodynamic instability or declines in their ABGs while in a prone position, this can indicate that the intervention is not beneficial for that specific individual at that moment.

Restoring the patient to a supine position is crucial because it may alleviate the physiological stress induced by proning. The supine position can help stabilize hemodynamics by normalizing venous return to the heart and optimizing cardiac output. Additionally, if the patient's ventilation and perfusion are adversely affected while proned, returning to the supine position can help mitigate further complications and stabilize the patient's condition.

Continuing with proning despite signs of deterioration could worsen the patient's status, and increasing the PEEP setting might further compromise hemodynamics in an unstable situation. Contacting the physician for advice is important in a broader context, but immediate management of the patient's condition takes precedence over awaiting further instructions. Therefore, the most immediate and effective intervention is to return the patient