Your critical care transport team is carrying a 35-year-old male who has sustained bilateral femur fractures in a rollover motor vehicle collision to a tertiary care facility. The patient never required resuscitation and remained hemodynamically stable through his entire stay at the community hospital from which you are transporting him. During his care there, he had bilateral traction splints applied, two large-bore IVs established, blood type cross-matched, and supplemental oxygen administered by 100% nonrebreathing mask. The physical exam reveals a patient who is in moderate/severe pain and in distress secondary to the fractures. He is alert and oriented times 3, restless, and anxious. Lungs are clear bilaterally. Heart sounds are good. Both traction splints are in place with good distal dorsalis pedis and posterior tibialis pulses, good distal sensory checks, and range of motion of the feet and toes. Most recent vital signs are blood pressure, 122/68 mm Hg; heart rate, 102 beats/min; respirations, 22 breaths/min; SpO2, 100%. Your standing orders call for administration of fentanyl (Sublimaze) 1 μg/kg, which is 100 μg for this patient. Which of the following statements is true regarding this medication for this patient?
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With regard to the environment, it is important for the nurs…
With regard to the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger:
A 32-year-old woman with depression begins to have a decline…
A 32-year-old woman with depression begins to have a decline in meal intake. The nurse makes a call to the Dr. on call to see if can increase mood stabilizer. This behavior usually manifests itself during which phase of the therapeutic relationship?
Identify the starred structure.
Identify the starred structure.
During what stage of folliculogenesis does the follicle rupt…
During what stage of folliculogenesis does the follicle rupture and release the oocyte?
What does the acronym PASS stand for?
What does the acronym PASS stand for?
If a poison has been swallowed, the first step of care is to…
If a poison has been swallowed, the first step of care is to .
Use the formula C= (F – 32) x 0.5556 to convert a fahrenheit…
Use the formula C= (F – 32) x 0.5556 to convert a fahrenheit temperature of 102 to Celsius
The measurement of the balance between heat produced and hea…
The measurement of the balance between heat produced and heat loss is .
If a particle gets in your eye, .
If a particle gets in your eye, .