Take the Test

The following 10 questions have been designed to test your knowledge of the new sedation, analgesia and delirium protocols. Begin by answering Question 1. You will advance to Question 2, upon successful completion of the Question 1. After successful completion of Question 10, a test completion page will be displayed. Print this page, fill in your name and ID number, and forward to the Clinical Educator at your site.

 

Question 1:

Mrs. Brown is admitted following a bowel resection with delayed primary closure and application of a VAC drainage system. She awakens abruptly, and begins to compete with the ventilator. She is grimacing in pain and grabbing her abdomen, despite having received morphine 4 mg IV 10 minutes earlier. Plans include daily surgical debridement and mechanical ventilation for the next few days. Which one of the following interventions should be carried out next?

1. Administer morphine 2-4 mg IV direct, q 10 minutes until patient comfort is achieved.

2. Administer midazolam 2-4 mg IV direct to facilitate patient relaxation.

3. Initiate an infusion of morphine at 5 mg per hour

4. Initiate a propofol infusion.