A patient who was previously being mechanically ventilated in the ...

[armygirl]

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]

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.