How to Answer Year Surgical Intensive Questions (Complete Guide)
This question focuses on applying theory to practical scenarios.
What This Question Is About
This question relates to year surgical intensive and requires a structured academic response.
How to Approach This Question
Focus on explaining concepts clearly and supporting them with examples.
Key Explanation
This topic involves year surgical intensive. A strong answer should include explanation, application, and examples.
Original Question
Mr. B. is a 52-year-old man in the surgical intensive care unit after liver transplantation the previous day. He has a 15-year history of hepatic cirrhosis secondary to alcohol abuse. He is intubated and is receiving multiple vasopressor medications for hypotension. At 6:30 AM, he follows simple commands and denies pain or anxiety with simple head nods. At 7:00 AM, Mr. B. is kicking his legs and places his arms outside the side rails. Attempts by the nurse to reorient him result in his pulling at his endotracheal tube. His wrists are restrained with soft restraints. At this time, he does not follow any simple commands. He continually shakes his head back and forth. Facial grimacing is noted, and he is biting down on the endotracheal tube, which is causing the ventilator to sound the high-pressure alarm. His blood pressure is 185/110 mm Hg, with a mean arterial pressure of 135 mm Hg. The monitor displays sinus tachycardia at a rate of 140 beats/min. Medication infusions include epinephrine (3 mcg/min), norepinephrine (15 mcg/min), dopamine (2 mcg/kg/min), and fentanyl (100 mcg/hr). His only other medications are his immunosuppressive drug regimen. Pts weight is 100 kg. 1. Score Mr. B.’s pain, agitation/sedation, and delirium using the following objective tools: Tool Score Behavioral Pain Scale (BPS): Critical-Care Pain Observation Tool (CPOT): Richmond Agitation-Sedation Scale (RASS): Sedation-Agitation Scale (SAS): The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU): 2. Would complementary or alternative medicine therapies be appropriate at this time? If not, what therapies would be appropriate? 3. What type of medication is Mr. B. receiving for pain? 4. Is this an appropriate dose of pain medication for Mr. B.? 5. What other medications could be given to manage his agitated state? 6. What other medications is Mr. B. receiving that need management? What could you do to manage them?
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