Critical Care Nursing

Question 0

Neuromuscular blockade

Answer 0

Total chemical paralysis.
No sedative or analgesic properties. WE WANT TO GIVE SEDATION.
Facilitate ET intubation and mechanical ventilation.

Question 1

Richmond Agitation-Sedation Scale

Answer 1

Measures level of sedation on a 10 point scale:

4 - combative
0 - calm/alert
-5 - unarousable

Monitoring sedation status over consecutive days.

Question 2

Medications used for sedation

Answer 2

• Midazolam (versed)
• Propofol (conscious sedation, status epilepticus)
• Ativan
• Valium

Question 3

Medications used for analgesia

Answer 3

• Fentanyl (opioid, used in pts that are hemodynamically unstable. Helps control pain and agitation without lowering BP)
• Hydromorphone (Dilaudid)
• Morphine
• Acetaminophen

Question 4

ICU psychosis

Answer 4

Pts who do not get enough sleep may start not processing things correctly

Question 5

Pain assessment / scale in ICU

Answer 5

BP elevated, HR elevated, facial grimacing

FLACC scale

• face
• legs
• arms
• cry
• consolability

Question 6

Prevention on VAP

Answer 6

• HOB > 30
• suction before putting HOB down
• brush teeth
• Peridex (oral care)