B.
Ventilator-associated pneumonia (VAP)
✓
B.
Herniation of the brain
✓
A.
Increase sedation immediately
✓
B.
Assess the patient for acute changes (e.g., pneumothorax, ETT displacement, secretions), and troubleshoot ventilator alarms
✓
C.
Administer a diuretic
✓
D.
Disconnect the patient from the ventilator
✓
B.
Fluid overload and pulmonary edema
✓
A.
Check the patient's temperature
✓
B.
Assess for patient-ventilator asynchrony, airway obstruction (e.g., secretions, bronchospasm), or kinks in tubing
✓
C.
Check the patient's blood pressure
✓
A.
Administer a diuretic
✓
B.
Initiation of vasopressor support (e.g., norepinephrine) to maintain adequate MAP
✓
C.
Discontinuation of antibiotics
✓
D.
Administer oral fluids
✓
A.
To increase blood pressure
✓
B.
To prevent platelet aggregation and reduce risk of clot formation
✓
C.
To decrease heart rate
✓
D.
To dissolve existing clots
✓
C.
Myocardial infarction
✓
A.
Increase the infusion rate
✓
B.
Check the IV tubing for kinks, clamps, or occlusions distal to the pump
✓
C.
Decrease the infusion rate
✓
A.
Increase insulin drip rate
✓
B.
Monitor potassium levels closely and prepare for potassium replacement if needed, as insulin shifts potassium intracellularly
✓
C.
Stop the insulin drip
✓
D.
Administer oral glucose
✓
B.
CPP is inadequate and indicates insufficient blood flow to the brain
✓
A.
Administer more fluid
✓
B.
Initiation of hemodialysis or continuous renal replacement therapy (CRRT)
✓
C.
Administer a diuretic
✓
D.
Administer an antibiotic
✓
B.
Tachycardia and increased myocardial oxygen demand
✓
B.
Herniation of the brainstem
✓
A.
Infuse through a peripheral IV only
✓
B.
Infuse through a central venous catheter to prevent extravasation and ensure rapid systemic delivery
✓
C.
Infuse through a subcutaneous line
✓
D.
Administer as a bolus
✓
B.
Acute Respiratory Distress Syndrome (ARDS)
✓
A.
Increase systemic vascular resistance
✓
B.
Increase myocardial contractility and cause vasodilation
✓
D.
Decrease cardiac output
✓
A.
Administer aspirin immediately
✓
B.
Perform rapid neurological assessment (NIHSS), determine last known well time, and prepare for CT scan of the brain
✓
C.
Administer oral fluids
✓
D.
Elevate head of bed to 90 degrees
✓
A.
Propofol is not working
✓
B.
Propofol Infusion Syndrome (PRIS), requiring immediate discontinuation of propofol and supportive care
✓
