10-25-2014, 10:25 AM
A 77-year-old man is admitted to the medical intensive care unit because of respiratory distress and hypotension thought to be due to sepsis. He is briefly intubated and given vasopressors; his hemodynamic and respiratory status improve rapidly, and he is extubated. The first night after extubation he is disoriented and attempts to remove his urinary catheter and central venous catheter despite multiple attempts by the nurse to reorient the patient. The doctor feels that the urinary catheter and central venous catheter are still warranted.
What is the most appropriate next step in management?
A. Administer 1 mg lorazepam intravenously
B. Administer 10 mg haloperidol intravenously
C. Prescribe soft wrist restraints and frequently assess the need for their use
D. Reintubate and sedate the patient
E. Remove the central venous catheter and urinary catheter
What is the most appropriate next step in management?
A. Administer 1 mg lorazepam intravenously
B. Administer 10 mg haloperidol intravenously
C. Prescribe soft wrist restraints and frequently assess the need for their use
D. Reintubate and sedate the patient
E. Remove the central venous catheter and urinary catheter