The patient has been mechanically ventilated for the past week and is receiving a neuromuscular junction (NMJ) blocker, an analgesic, and a sedative. The goal is to extubate the patient. What medication will the nurse stop administering first?
A) NMJ blocker
B) Sedative
C) Analgesic
D) All three medications will be stopped at the same time.
A
Feedback:
NMJ blockers have no effect on pain perception or consciousness and should not be used without sedation so the NMJ blocker should be removed first. Because the patient has been receiving analgesics for a week, he or she will have to be weaned off them to overcome dependence. Sedatives can be removed more quickly after the NMJ blocker's effects are gone.
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