« previous next »

Author Question: A patient who was previously being mechanically ventilated in the pressure-regulated volume control ... (Read 45 times)

armygirl

  • Hero Member
  • *****
  • Posts: 556
on: Jul 16, 2018
A patient who was previously being mechanically ventilated in the pressure-regulated volume control (PRVC) mode and is now receiving CPAP at 10 cm H2O along with pressure support ventilation, requires pain management. The physician has ordered IV infusion of fentanyl. Why should the therapist question this order?
 
  A. Fentanyl will induce hypotension.
  B. Fentanyl causes insomnia.
  C. Fentanyl will induce diarrhea.
  D. Fentanyl may cause respiratory depression.

Question 2

Which of the following conditions is likely experienced in the ICU by a patient having delusions, unstructured thoughts, and hallucinations?
 
  A. anxiety
  B. delirium
  C. uncontrolled pain
  D. agitation


jaymee143

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: Fentanyl is an opioid analgesic. Therefore it used in the management of pain for patients who are critically ill. Administration is commonly via IV infusion. Opioid analgesics have potentially significant adverse effects in critically ill patients. These adverse effects include respiratory depression, raising the risk of apnea and respiratory arrest in spontaneously breathing patients.

Answer to Question 2

ANS: B
A. Incorrect response: Anxiety is a sustained state of apprehension in response to a new or perceived threat.
B. Correct response: Delirium is an acute, potentially reversible impairment of consciousness and cognitive function that waxes and wanes.
C. Incorrect response: Pain is manifested differently than that described in the question.
D. Incorrect response: Agitation is a state that is caused by anxiety, delirium, and pain, and is manifested as excessive motor activity associated with internal tension.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Teaching an illterate patient Teaching an illterate patient
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm. Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm.
Effects of septal defects: (A) normal shunt; no cyanosis; (B) increased pressure in right ventricle; ... Effects of septal defects: (A) normal shunt; no cyanosis; (B) increased pressure in right ventricle; ...
Control of Homeostasis: Negative Feedback Control of Homeostasis: Negative Feedback
Physics - Density, Pressure, and Pascal's Principle Physics - Density, Pressure, and Pascal's Principle
Video: DNA Replication Factory and Protein

For a complete list of videos, visit our video library