A patient in the ICU receiving mechanical ventilation has been ...

[Charlie]

A patient in the ICU receiving mechanical ventilation has been oversedated. Which of the following drugs needs to be administrated to this patient?
 
  A. propofol
  B. midazolam
  C. hydromorphone
  D. flumazenil

Question 2

The therapist is using the Ramsey scale on a patient who is being considered for weaning from mechanical ventilation in the ICU. Based on this information, what is the therapist evaluating?
 
  A. the level of pain experienced by the patient
  B. the degree to which the patient is agitated
  C. the patient's level of sedation
  D. the extent of the patient's anxiety

[shailee]

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: Benzodiazepines are the drugs most commonly used in the ICU for sedation therapy. A useful characteristic of benzodiazepine is the ability to reverse sedation with the use of flumazenil. This characteristic is of great utility in the management and oversedation in unintubated patients.

Answer to Question 2

ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: Evidence indicates that using a sedation scale, such as the Ramsey scale, to define goals and determine sedation status often results in increased duration of mechanical ventilation and length of stay.
D. Incorrect response: See explanation C.

[Charlie]

Gracias!

[scottmt]

TYSM