A 75 years old physically fit gentleman (predicted weight 65) who was involved in a motor vehicle accident exactly two month ago in which he...

Question Answered step-by-step HELP ME WITH THE FOLLOWING SCENARIOS FOR INTENSIVE CARE MEDICINE : A 75 years old physically fit gentleman (predicted weight 65) who was involved in a motor vehicle accident exactly two month ago in which he sustained multiple limbs fractures that were managed with combination of both external fixators and keeping him in the hospital this long.During this hospital stay, he has not been actively mobile and has been on prophylactic dose of clexane and physiotherapy. He is a smoker and does not drink alcohol .Over the past two days he has developed high grade fever initially with rigors and nausea but has since developed hypotension (BP 85/48 mmHg) tachypnea (RR35/min and episode of confusion. His current GCS is 13/15, SPO2 reading is between 85% and 88% on 15L/min of Oxygen and urine output over the past 4hours is at 0,5ml/kg/min and is tea coloured.This patient is admitted to the ICU, and a decision is taken toperform some invasive procedures including endotracheal intubation and mechanicalventilation.1. What is the choice of hypnotic agent, muscle relaxant, technique of induction?2. What are the reasons for the choice of each of the agents and techniques in (1) above?3. What choice of feeding method for this patient and when is the right time to initiate it ?4. What is the estimated caloric requirement if being on mechanical ventilationrequires increasing estimated requirements by a factor of 1.5?Help with detailed information together with references Health Science Science Nursing NURS 4434 Share QuestionEmailCopy link Comments (0)