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A 56-Year-Old Patient Is Admitted to the Critical Care Unit

Question 5

Multiple Choice

A 56-year-old patient is admitted to the critical care unit with acute respiratory distress syndrome (ARDS) .The patient has been intubated and is mechanically ventilated.The patient is becoming increasingly agitated, and the high-pressure alarm on the ventilator has been frequently triggered.Despite the nurse's actions, the patient continues to be agitated, triggering the high-pressure alarm on the ventilator.Which of the following medications would be appropriate for sedation?


A) Midazolam 2 to 5 mg intravenous push (IVP) every 5 to 15 minutes until the patient is no longer triggering the alarm
B) Haloperidol 5 mg IVP stat
C) Propofol 5 mcg/kg/min by IV infusion
D) Fentanyl 25 mcg IVP over a 15-minute period

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