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학습 자료 둘러보기 →The immediate priority is airway and breathing. Elevate the head of the bed to reduce upper body venous congestion and administer high-flow oxygen for hypoxemia (SpO2 92%).
A mediastinal mass compressing the SVC causes dysphagia, hoarseness, and swelling of the neck and arms. Tachycardia (100 bpm) and hypotension (100/70 mmHg) signal decreased venous return.
Never place a patient with SVCS in Trendelenburg position; it worsens cerebral and laryngeal edema. Avoid morphine unless absolutely necessary due to the risk of respiratory depression.
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