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Sedation and Paralytics in Critical Care.


Paralyzing a patient with neuromuscular blocking agents (NMBA) has become very controversial.  The long term affects when used inappropriately can be significant, if not fatal.  Yet, positive results can be obtained from correct dosing, and meticulous nursing care.  We will discuss the use of NMBA and how to assess the depth of paralysis using the train of four method.  We will review the nursing implications involved in safely administering paralytics.

The nurse who is armed with knowledge on the use of sedatives, analgesics and neuromuscular blockers can provide the best nursing practice, be a patient advocate, and a valued member of the health care team.

The target audience for this presentation is the critical care nurse and the advanced practice nurse.  The prerequisite for this class is a basic understanding of critical care.  It can be beneficial to the new graduate, the seasoned ICU nurse, the advanced practice nurse or pharmacist.  Approximately 60% of the information presented is pharmacological, the other percentage includes assessment, nursing implication and patient outcomes.

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