A.
Patient needs more sedation
✓
B.
Dexmedetomidine-induced bradycardia and hypotension, requiring physician notification and possible dose reduction
✓
C.
Pain is not controlled
✓
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
✓
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.
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.
Administer IV fluids rapidly
✓
B.
Prepare for immediate needle decompression or chest tube insertion
✓
C.
Administer a diuretic
✓
B.
Herniation of the brain
✓
B.
Ventilator-associated pneumonia (VAP)
✓
A.
Increased coronary artery perfusion
✓
B.
Decreased cardiac output and increased afterload
✓
D.
Decreased heart rate
✓
A.
Patient is recovering
✓
B.
Persistent tissue hypoperfusion and ongoing shock despite vasopressor support
✓
C.
Lactate is falsely elevated
✓
D.
Patient is receiving too much fluid
✓
A.
To decrease heart rate
✓
B.
To increase myocardial contractility and peripheral vasoconstriction
✓
D.
To sedate the patient
✓
Page 647 of 1122
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