A patient with head trauma and an elevated ICP is being ventilated postoperatively and shows signs of asynchrony with the mechanical ventilator. The most appropriate medication to sedate this patient is which of the following?
a. Morphine
b. Propofol
c. Propofol and morphine
d. Fentanyl
ANS: C
Propofol and morphine, administered simultaneously, allow for greater control of the ICP than morphine alone. Propofol reduces cerebral blood flow and intracranial pressure, making it a use-ful sedative for neurosurgical patients. In fact, propofol has been shown to be more effective than fentanyl in reducing ICP in patients with traumatic brain injury.
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A client explained to her therapist that she belongs to a religious minority holding strongly conservative views about a woman's place in society
The therapist, surprised by the disclosure, noticed how angry she felt in response to the client's comment. In order to respond appropriately, this therapist must a. Practice professionally, independent of personal beliefs. b. Listen carefully to the words the client uses to describe her religion. c. Tell the client that she should stick to her pain and stress. d. Gently suggest that there are other ways for women to contribute to society.
All of the following are Schedule I drugs EXCEPT:
A) LSD. B) Opium. C) Heroin. D) Mescaline.