A 66-year-old man fell down a flight of stairs. He sustained several rib fractures and a small right frontal-parietal cerebral contusion. While in the emergency center, he developed progressive dyspnea, which led to intubation and mechanical ventilation. Shortly after arrival to the ICU, the nurse notifies that the patient appears anxious and agitated despite having received 8 mg of morphine sulfate intravenously over the past 1 hour. Physical Examination: His heart rate is 110 beats/minute, BP is 146/90 mm Hg, respiratory rate is 28 breaths/minute, Glasgow coma score (GCS) is 10T (E4, MS, V1), and 0 2 saturation is 100%.
He appears uncomfortable and is attempting to remove his monitoring leads and urinary catheter. What are the appropriate next steps and interventions for this condition? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: Case Files…
