You are the NP in the Recovery Room. You are caring for a 3…

You are the NP in the Recovery Room. You are caring for a 3 year old patient who recently underwent a PICC line. Anesthesia used Ketamine during this procedure. Your patient is experiencing fear and hallucinations. As the NP you suspect an emergence phenomenon. What medication can you order to treat this?  

A 5 day old infant presents with severe tachypnea and mild c…

A 5 day old infant presents with severe tachypnea and mild cyanosis. On examination, he has poor peripheral perfusion, hepatomegaly, and a 2/6 systolic ejection murmur at the LUSB. He became acidotic over the next few hours. His CXR shows a reticular pattern with a small heart size. The most likely diagnosis is:  

You are called for a stab wound to the chest. The patient is…

You are called for a stab wound to the chest. The patient is a 19 yo M who has a radial pulse, but no obtainable blood pressure. He is anxious and gasping for air.  On auscultation he has absent breath sounds on one side and you observe distended neck veins, & tracheal deviation. His CXR is below.    What is the most appropriate first step in management of shock in this patient?