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- Suction the airway
- Place the patient in Trendelburg
- Administer a 0.9% normal saline bolus of 500 ml
- Increase the Diprivan infusion to 30 mcg/kg/hr
It's essential to remove any secretions from the airway before extubating. Trendelenburg positioning would not be condusive to extubation. When considering the provided information, indications for a fluid bolus are not given. When extubating, you do not want to increase the sedation. You want to wean it/turn it off to allow appropriate wakefulness for exubation.
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