Question

After patient experienced Sinus Tachycardia:  State the rationale and expected outcomes for the medical plan of care.

Fentanyl IV infusion 10-125 mcg/hour. RASS goal -3 (Mod. Sedation)

Rationale:

Expected outcomes:

After patient experienced Sinus Tachycardia:  State the rationale and expected outcomes for the medical plan of care.

Dexmedetomidine IV infusion 0.2- 1 mcg/kg/hour. RASS goal -3 (Mod. Sedation)

Rationale:

Expected outcomes:

Answer 1

Fentanyl

Rationale:In order to calm a patient who is stressful ,anxious which has lead to sinus tachycardia

This acts as a mu receptor agonist

Has very low risk on heart

Expected outcome:

• Relieves anxiousness
• Ensures patient sleeps as a result elevated heart rate decreases
• Maintains normal cardiac rhythm and electrical activity without disturbing the QT interval by prolonging it.

Dexmedetomidine

Rationale:

• This drug does not produce any respiratory arrest or depression unlike other drugs
• The patient can be aroused even during sedation

Expected outcome

• This reduces anxiety
• Patient will be able to sleep