Following a traumatic brain injury, an intubated 2-year-old patient requires an infusion of cisatracurium (Nimbex) to assist with intracranial pressure. On day 3, the ventilator’s mean airway pressure begins to alarm frequently and suctioning needs have increased. The patient’s vital signs are:
BP: 99/58
HR: 148
RR: 20
T: 102.2°F (39°C)
ICP: 19
CPP: 53
WBC: 22,000
Na⁺: 153 mEq/L
A nurse should anticipate the patient will require:
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