In the event of a patient vomiting during postural drainage, what is the respiratory therapist's first action?

When a patient vomits during postural drainage, the priority is to ensure the patient's airway is clear to prevent aspiration and maintain adequate ventilation. Suctioning the patient's airway is the most appropriate initial action, as it allows the therapist to remove any vomit or secretions that could obstruct the airway and compromise the patient's breathing. This step is critical to safeguard against potential airway obstruction and to facilitate smoother respiratory management.

Suctioning promptly after vomiting helps mitigate the risk of aspiration pneumonia, which could worsen the patient's respiratory condition. Once the airway has been secured and the patient is stable, appropriate adjustments, such as repositioning or continuing with postural drainage, can be addressed based on the clinical situation and physician orders.