Sedation is the reduction of irritability or agitation by administration of sedative drugs, generally to facilitate a medical procedure or diagnostic procedure. Examples of drugs which can be used for sedation include isoflurane, propofol, etomidate, ketamine, fentanyl, lorazepam and midazolam. Caring for the Patient on a Ventilator. The nurse must be able to do the following: 1. Identify the indications for mechanical ventilation. 2. List the steps in preparing a patient for intubation. For general anesthesia induction. NOTE: As with other general anesthetic agents, the individual response to ketamine is somewhat varied depending on the dose, administration route, and patient age; dosage recommendations cannot be absolutely fixed. Case One:. A heavy-set 24 year old woman is rushed to the triage window by a friend: "Help her!" The patient, herself, says "I can’t breathe!" She looks pale, shaky, and frightened, but is able to answer your questions as you examine her. Clinical assessment. In any critically ill patient, clinical assessment and treatment must occur simultaneously. Reassessment of response to interventions must be undertaken frequently and rapidly. The following are the common goals and expected outcomes for Impaired Gas Exchange.. Patient maintains optimal gas exchange as evidenced by usual mental status, unlabored respirations at 12-20 per minute, oximetry results within normal range, blood gases within normal range, and baseline HR for patient. The purpose of this course is to prepare healthcare professionals to adhere to scientifically accepted principles and practices of infection control, understand modes and mechanisms of transmission, understand the use of engineering and work practice controls, select and use appropriate barrier protections, create and maintain a safe environment, and prevent and manage infectious and. This course presents current annual training topics required by the Healthcare Insurance Portability and Accountability Act (HIPAA), the Joint Commission on Accreditation of Healthcare Organizations (TJC), and Occupational Safety and Health Administration (OSHA). In advanced airway management, rapid sequence induction (RSI) - also described as rapid sequence intubation or as rapid sequence induction and intubation (RSII) - is a special process for endotracheal intubation that is used where the patient is at a high risk of pulmonary aspiration or impending airway compromise.It differs from other forms of general anesthesia induction in that artificial. As with other benzodiazepines, lorazepam should be used with extreme caution in patients with pulmonary disease and in patients with respiratory insufficiency resulting from chronic obstructive pulmonary disease (COPD), status asthmaticus, abnormal airway anatomy, cyanotic congenital heart disease, or pulmonary hypertension.