A patient received one dose of flumazenil (Romazicon). What is the nurse's next action?
a. Carefully observe for pre-flumazenil symptoms.
b. Teach the patient about dietary restrictions.
c. Prevent injury during seizure activity.
d. Force 500 ml oral fluids over 2 hours.
A
Flumazenil, which is given to patients who have overdosed with benzodiazepines, is a benzodiazepine receptor antagonist. Response occurs within 30 to 60 seconds; however, it might not reverse associated respiratory depression. Because it has a short duration of action and does not speed metabolism of benzodiazepines, the nurse must be vigilant for signs that the patient is reverting to the pre-flumazenil state. Administration of flumazenil might need to be repeated several times.
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