A 7-year-old child is in the pediatric intensive care unit on a ventilator. Sedation is maintained with a midazolam (Versed) drip. Which items should the nurse ensure are readily available at the child's bedside? (Select all that apply.)
A.
Back-up ventilator
B.
Bag-valve mask device
C.
Flumazinil (Romazicon)
D.
Narcan (Naloxone)
E.
Working suction setup
ANS: B, C, E
For the child on a ventilator, the nurse should have a bag-valve mask for manual ventilation and working suction. The antidote for Versed is Romazicon, which should also be available. A back-up ventilator for every ventilator in use is not only prohibitively expensive, but having the bag-valve mask allows for manual ventilation in case of ventilator failure. Narcan is not the antidote for Versed.
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