When an adult patient has a respiratory rate of 26 breaths/min, what should you first assess?

In a situation where an adult patient presents with a respiratory rate of 26 breaths per minute, it is crucial to first assess both the mental status and the depth of the respirations. This increased respiratory rate, which falls into the category of tachypnea, can indicate various underlying conditions that may affect the patient's overall respiratory function and well-being.

Assessing mental status is vital as it provides insight into the patient's neurological condition and can help identify if there is any underlying hypoxia or hypercapnia affecting their level of consciousness. A change in mental status could indicate that the body is not adequately oxygenating, which is critical information that might dictate the urgency of interventions.

Additionally, evaluating the depth of respirations gives further information about the patient’s ventilation. Shallow breathing may suggest that the patient is struggling to adequately exchange air, whereas deep, labored breathing can signify an attempt to compensate for respiratory distress. Both aspects are essential for determining the severity of the patient’s condition and necessitate a potential intervention strategy.

While assessing oxygen saturation, applying a bag-mask device, and taking vital signs are important components of patient evaluation, they should follow the initial assessment of mental status and respiratory depth to inform appropriate and timely interventions. Prioritizing the assessment of mental