A.
Patient is absorbing nutrients well
✓
B.
Delayed gastric emptying and high risk of aspiration
✓
C.
Patient is dehydrated
✓
A.
Increase environmental stimulation
✓
B.
Assess for pain, discomfort, or other causes of agitation, and administer analgesia/sedation as ordered to prevent further ICP elevation
✓
C.
Apply physical restraints immediately
✓
D.
Administer a diuretic
✓
A.
Administer a diuretic
✓
B.
Aggressive intravenous fluid resuscitation to prevent acute kidney injury
✓
C.
Administer antibiotics
✓
D.
Administer a vasoconstrictor
✓
A.
Re-zero the transducer
✓
B.
Assess the patient's clinical status, check for bleeding/disconnection, and initiate rapid fluid bolus or vasopressor as ordered
✓
C.
Administer a diuretic
✓
D.
Calibrate the monitor
✓
B.
Hepatic encephalopathy
✓
A.
Increase sedation only
✓
B.
Preparation for proning or ECMO
✓
C.
Discontinuation of ventilator
✓
D.
Administration of diuretics
✓
B.
Elevate head of bed to 30-45 degrees, check tube placement before feeding, and administer prokinetics if ordered
✓
C.
Do not check placement
✓
D.
Administer feed immediately after insertion
✓
A.
Insufficient dobutamine dose
✓
B.
Dobutamine-induced tachycardia and myocardial ischemia, requiring physician notification and possible dose adjustment
✓
A.
Increase the blood flow rate
✓
B.
Apply direct pressure to the site, notify physician, and assess coagulation status
✓
C.
Administer more fluid
✓
D.
Stop CRRT without orders
✓
B.
Initiate CPR immediately and administer epinephrine as ordered
✓
C.
Synchronized cardioversion
✓
