During reassessment of a patient receiving CPAP therapy, which action should be taken if the patient is fatigued and unable to follow commands?

In a scenario where a patient receiving CPAP therapy is exhibiting fatigue and an inability to follow commands, initiating assisted ventilation with a bag-mask device is the most appropriate action. This choice is based on the understanding that the patient may not be effectively ventilating on their own, which is particularly concerning if they are unable to follow commands. Providing assistance with a bag-mask can help ensure adequate ventilation and oxygenation, supporting the patient's respiratory effort in a critical situation.

This intervention is fundamental in managing a patient who shows signs of respiratory distress or compromise, as timely support can prevent further deterioration of their condition. Other options, such as increasing the CPAP settings or applying additional oxygen, may not provide immediate relief and could potentially exacerbate the patient’s fatigue. Furthermore, the use of a beta-2 agonist through CPAP is generally intended for bronchospasm or airway constriction and may not address the immediate need for ventilation support. Thus, the priority in this case should be to secure the patient's airway and ensure effective ventilation.