Question

A nurse is caring for a client ow his receiving vecuronium during mechanical ventilation. Which of the following medications should the nurse anticipate administering with this medication? (Select all that apply.)

A. Fentanyl
B. Furosemide
C. Midazolam
D. Famotidine
E. Dexamethasone

Answer 1

When using vecuronium during mechanical ventilation, a nurse should anticipate administering Fentanyl for pain management and Midazolam for sedation and anxiety, as these medications are complementary to the muscle relaxation provided by vecuronium.

Step-by-step explanation:

When caring for a client who is receiving vecuronium for muscle relaxation during mechanical ventilation, a nurse may need to administer additional medications to manage pain, anxiety, and potential side effects. Vecuronium is a neuromuscular blocking agent used to facilitate intubation and provide muscle relaxation during surgery or mechanical ventilation.

The medications that could be administered alongside vecuronium include:

• Fentanyl: a potent opioid analgesic to help manage pain.
• Midazolam: a benzodiazepine for sedation and anxiolysis.

Other medications not related to the effects of vecuronium like furosemide, famotidine, and dexamethasone may be used for separate indications unrelated to neuromuscular blockade, such as managing fluid overload, preventing stress ulcers, or reducing inflammation, respectively. In the context of vecuronium use during mechanical ventilation, fentanyl and midazolam are typically expected to be administered to address pain and anxiety which can result from the procedure.