Which medication is most appropriate to administer at time

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Problem

A 65-year-old patient with acute respiratory distress syndrome (ARDS) is on mechanical ventilation in the ICU. The patient has a history of chronic pain and anxiety. The nurse observes the following: Heart rate: 110 bpm (elevated from baseline of 85 bpm). Blood pressure: 150/90 mmHg (elevated from baseline of 130/80 mmHg). Grimacing and restlessness noted on assessment. Ventilator synchrony issues (bucking the vent, increased work of breathing) The nurse suspects pain and agitation. Get the instant assignment help. The provider has ordered the following PRN medications: Fentanyl 50 mcg IV every 1 hour PRN for severe pain. Midazolam 2 mg IV every 2 hours PRN for anxiety/agitation. Acetaminophen 650 mg PO/NG every 6 hours PRN for mild to moderate pain. Which medication is the most appropriate to administer at this time?

Reference no: EM133844871

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