B.
Severe brainstem dysfunction and poor prognosis
✓
C.
Patient is comfortable
✓
D.
Patient is recovering
✓
B.
Eye opening, verbal response, and motor response
✓
C.
Patient's favorite food
✓
B.
Myocardial dysfunction or ischemia due to high vasopressor doses
✓
A.
Increase sodium in replacement fluid
✓
B.
Adjust the sodium concentration in the CRRT replacement fluid to prevent hypernatremia
✓
C.
Decrease sodium in replacement fluid
✓
D.
Administer more fluid
✓
A.
Administer a diuretic
✓
B.
Aggressive fluid resuscitation with crystalloids and colloids
✓
C.
Administer antibiotics
✓
D.
Administer a vasoconstrictor
✓
A.
Disconnect all lines
✓
B.
Ensure all critical infusions and equipment are securely transported, and communicate patient status/needs to receiving unit
✓
C.
Transfer without monitoring
✓
D.
Transfer without communication
✓
B.
Pulmonary embolism or bronchospasm
✓
B.
Continue insulin drip at a lower rate, and add dextrose to IV fluids to allow continued acidosis resolution
✓
C.
Increase insulin drip rate
✓
D.
Administer oral glucose
✓
A.
Administer oral antacids
✓
B.
Establish large-bore IV access, administer IV fluids/blood products, and prepare for endoscopy
✓
C.
Administer a diuretic
✓
B.
QT prolongation and extrapyramidal symptoms
✓
B.
Widespread microvascular thrombosis and uncontrolled bleeding
✓
A.
Administer through the same lumen sequentially
✓
B.
Administer incompatible medications through separate lumens to prevent precipitation or inactivation
✓
C.
Administer through a peripheral IV only
✓
D.
Mix all medications together
✓
A.
Remove cooling devices
✓
B.
Increase cooling interventions (e.g., adjust cooling blanket, administer cold IV fluids)
✓
C.
Administer warming blankets
✓
D.
Administer antipyretics only
✓
C.
Transient ischemic attack (TIA)
✓
A.
Insufficient dobutamine dose
✓
B.
Dobutamine-induced arrhythmias, requiring physician notification and possible dose adjustment
✓
A.
Increase environmental stimulation
✓
B.
Assess for neurological deterioration, notify physician, and prepare for interventions to lower ICP
✓
C.
Administer a sedative without assessment
✓
D.
Administer a diuretic
✓
A.
Give all medications at higher doses
✓
B.
Many medications require dose adjustment or avoidance due to renal excretion
✓
C.
No medication adjustment is needed
✓
D.
Give all medications orally
✓
A.
Use a small gauge IV catheter
✓
B.
Use a large bore (e.g., 18G or 16G) IV catheter or central line for rapid infusion
✓
D.
Use a subcutaneous line
✓
A.
Administer oral corticosteroids
✓
B.
Administer bronchodilators (e.g., albuterol, ipratropium) via nebulizer, systemic corticosteroids, and oxygen
✓
C.
Administer a diuretic
✓
D.
Encourage deep breathing exercises
✓
