The emergency department (ED) nurse is caring for a client requiring intubation via endotracheal tube (ETT).
The nurse anticipates that the primary healthcare provider will prescribe which medication immediately prior to intubation.
The emergency department (ED) nurse is caring for a client requiring intubation via endotracheal tube (ETT).
The nurse anticipates that the primary healthcare provider will prescribe which medication immediately prior to intubation.
A. propofol
[67%]
B. baclofen
[11%]
C. phenytoin
[17%]
D. haloperidol
[5%]
Statistics
Subject/Lesson
Subject
Critical Care
Lesson
Critical Care Concepts
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Expected Actions/Outcomes
Item Type
Item Type
Application
Explanation
Choice A is correct. Propofol is a medication that causes sedation. This induction agent is commonly used before the client is given a neuromuscular blocker such as succinylcholine or rocuronium. The healthcare provider gives propofol intravenous push (IVP), followed by a continuous infusion. The purpose of this medication is to sedate the client to prevent them from fighting the procedure and promote client comfort. An alternative to propofol could be midazolam, a benzodiazepine with a rapid onset of action.
Choice B is incorrect. Baclofen is a muscle relaxer with no utility in treating a client who needs oral intubation. Baclofen is commonly prescribed for multiple sclerosis or chronic back pain.
Choice C is incorrect. Phenytoin is an antiepileptic indicated in the prevention of seizures. This medication has no relevance while a client is being orally intubated.
Choice D is incorrect. Haloperidol is a typical antipsychotic indicated in the treatment of schizophrenia and delirium. This medication has no role while the client is being orally intubated.
Related Videos
2 Key Topics
Endotracheal Tubes
27.1 Critical Care Respiratory System
Additional Info
✓ Propofol is used for both moderate and general anesthesia
✓ When propofol is being administered to a client, emergency resuscitation equipment must be readily available
✓ Propofol is a lipid-based emulsion, and if given for prolonged periods or in conjunction with total parenteral nutrition, serum lipids must be monitored because of the risk for hyperlipidemia
