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Author6 Posts
  #1

7 days after sustaining partial and full thinkness burns in a house fire, A 7 yr old bot has brain asphyxia, acute respiratory distress syndrome, nultiorgan system failure, and sepsis. He is being mechanically ventilated. After consultation e=with his parents, a do -not-resusciatate order is written, and the boy is removed from the ventilator . 20 mins later, his blood pressure is 86/42 mmHg. pulse is 130/min and respirations are 8/ min He periodically moans in pain. His current pain medication is intravenous morphine(20mg/h)> which of the following is the most appropriate next step in pain management?

A. Decrease the morpgine until the patient's respirations are greater than 12/ min
B/ Increase the morphine
C. Adminidter midazolam
D. Adminidter naloxone
E. Adminidter pancuronium

  #2

A, we have just discussed this one before

  #3

thanks!

  #4

Hey frank, could upost a link to the discussion or briefly explain why?

  #5

why not to give nalaxone to get rid of morphine quicker?



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  #6

i'll go with b...increase morphine..read ethics







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