Question

A patient with acute respiratory distress syndrome (ARDS) on mechanical ventilation is receiving vecuronium by continuous IV infusion. The nurse anticipates that which other types of medications will be prescribed?

A. A sedative and a diuretic
B. An analgesic and sedative
C. An antibiotic and analgesic
D. A diuretic and an antibiotic

Answer 1

Patients with ARDS on mechanical ventilation typically require additional medications such as diuretics to manage fluid balance and antibiotics to treat or prevent infections. They may also need supplemental oxygen, pulmonary surfactant therapy, and various supportive care interventions, especially if sepsis is a concern.

Step-by-step explanation:

A patient with acute respiratory distress syndrome (ARDS) on mechanical ventilation and receiving vecuronium by continuous IV infusion may require other medications to support their treatment and recovery. Alongside muscle relaxants like vecuronium, it is common to administer diuretics to manage fluid balance and prevent fluid overload, which can exacerbate breathing difficulties. Additionally, antibiotics might be prescribed to treat or prevent infections, as ARDS patients are at increased risk for hospital-acquired infections, especially when on mechanical ventilation. In some cases, these infections can be caused by bacteria introduced via contaminated ventilators or other medical equipment.

Patients might also receive supplemental oxygen or pulmonary surfactant therapy depending on the underlying cause of ARDS and their response to ongoing treatments. In cases where sepsis is suspected, as indicated by rapid deterioration despite antibiotic therapy, interventions such as anti-inflammatory drugs and other supportive therapies might be administered.