American Association of Critical-Care Nurses (AACN) Certification Practice Test

Which sedative is considered the most suitable for a patient with hypotension during intubation?

1. Fentanyl

2. Etomidate

3. Thiopental

4. Buprenorphine

The correct answer is: Etomidate

Etomidate is considered the most suitable sedative for a patient with hypotension during intubation due to its hemodynamic stability and minimal cardiovascular effects. Unlike other sedatives such as Thiopental or Fentanyl, which can lead to blood pressure drops or have significant cardiovascular effects, Etomidate maintains hemodynamic stability, making it a better choice for patients who are already hypotensive. Moreover, Etomidate is a rapidly acting sedative that provides quick induction for intubation, allowing for effective airway management while minimizing risks associated with hypotension. This characteristic is particularly important in critical care environments where patients may present with compromised cardiovascular function. Hence, in the context of a patient with hypotension, Etomidate is the preferred option due to its safety profile and efficacy in inducing sedation without further compromising blood pressure.