Stage 6 — Evaluate outcomes. Review the 12-hour trend after … | MyMerci
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Chemical/Substance Use Disorder

Stage 6 — Evaluate outcomes. Review the 12-hour trend after monitored, protocol-guided treatment and select the best interpretation and next plan.

Trend

Choose your responses, then check the answer.

TimeData
RecognitionRASS +2; CAM-ICU positive; BP 168/96; HR 124; RR 22; SpO2 95 percent; visual hallucinations; oriented to person only
After initial protocol-guided IV treatmentRASS 0 to -1; BP 150/86; HR 104; RR 16; SpO2 97 percent; hallucinations stop; awakens to voice
Hour 4RASS 0; BP 142/84; HR 96; RR 16; SpO2 97 percent; calm; attention still fluctuates; oriented to person and place
Hour 12RASS 0; BP 132/80; HR 86; RR 16; SpO2 98 percent; no hallucinations; attention sustained during conversation; oriented to person, place, and time

Q1. How is the client responding to treatment?

Q2. What is the best next plan?

Explanation
Trend interpretation
Controlled agitation, resolution of hallucinations and autonomic hyperactivity, improving orientation, and stable respiration show clinical improvement without current oversedation. Continue monitored reassessment, transition medication only as the protocol and clinical response permit, revisit alternative causes if delirium persists or returns, and begin a warm handoff to ongoing AUD treatment when cognition permits.
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