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jnote01 jnote01
wrote...
Posts: 523
Rep: 1 0
6 years ago
Neuromuscular blocking agents are commonly used in mechanically ventilated patients when which of the following occurs?
 
  a. The patient is in severe pain.
  b. Cardiac arrhythmias are present.
  c. The patient develops anxiety as a result of ICU psychosis.
  d. Patient-ventilator dyssynchrony cannot be corrected.



Q. 2  The drug of choice for sedating mechanically ventilated patients in the ICU for longer than 24 hours is which of the following?
 
  a. Lorazepam (Ativan)
  b. Midazolam (Versed)
  c. Diazepam (Valium)
  d. Propofol (Diprivan)



Q. 3  A patient with head trauma and an elevated ICP is being ventilated postoperatively and shows signs of asynchrony with the mechanical ventilator. The most appropriate medication to sedate this patient is which of the following?
 
  a. Morphine
  b. Propofol
  c. Propofol and morphine
  d. Fentanyl



Q. 4  A patient who is receiving mechanical ventilation in the ICU is found to be wildly agitated. The most appropriate drug to control this delirium is which of the following?
 
  a. Propofol
  b. Fentanyl
  c. Haloperidol
  d. Lorazepam
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Replies
wrote...
6 years ago
(Answer to Q. 1)  ANS: D
Paralytics or neuromuscular blocking agents are used for patient-ventilator dyssynchrony that cannot be corrected by adjusting ventilator settings.

(Answer to Q. 2)  ANS: A
Lorazepam (Ativan) is the drug of choice for sedating mechanically ventilated patients in the ICU for longer than 24 hours.

(Answer to Q. 3)  ANS: C
Propofol and morphine, administered simultaneously, allow for greater control of the ICP than morphine alone. Propofol reduces cerebral blood flow and intracranial pressure, making it a use-ful sedative for neurosurgical patients. In fact, propofol has been shown to be more effective than fentanyl in reducing ICP in patients with traumatic brain injury.

(Answer to Q. 4)  ANS: C
Neuroleptics, such as haloperidol, are routinely used to treat patients demonstrating extreme agi-tation and delirium. Propofol is a general anesthetic used for sedation. Fentanyl is a synthetic opioid that is approximately 100-150 times more potent than morphine. Lorazepam (Ativan) is the drug of choice for sedating mechanically ventilated patients in the ICU for longer than 24 hours.
jnote01 Author
wrote...
6 years ago
This calls for a celebration Person Raising Both Hands in Celebration
wrote...
6 years ago
I get paid? lol

My pleasure
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