A nurse is admitting a client scheduled for a late afternoon procedure for which midazolam (Versed) will be administered. Which client statements should be reported to the anesthesiologist?
Standard Text: Select all that apply.
1. "I was afraid I would be nervous and not be able to sleep last night, so I took one of my melatonin capsules."
2. "The doctor said I could have a light breakfast. I hope a grapefruit and dry toast is light enough."
3. "I didn't put my glaucoma drops in my eyes this morning."
4. "When I had my last surgery, they gave me nitrous oxide."
5. "I am allergic to eggs."
Correct Answer: 1,2,3
Rationale 1: Melatonin should be avoided because it may increase the actions of benzodiazepines.
Rationale 2: Grapefruit and grapefruit juice may increase the serum concentration of midazolam.
Rationale 3: Clients who have acute, narrow-angle glaucoma should not be administered midazolam.
Rationale 4: There is no indication that previous exposure to nitrous oxide is problematic.
Rationale 5: There is no indication that an egg allergy will cause any problems with midazolam administration.
Global Rationale: Melatonin should be avoided because it may increase the actions of benzodiazepines. Grapefruit and grapefruit juice may increase the serum concentration of midazolam. Clients who have acute, narrow-angle glaucoma should not be administered midazolam. There is no indication that previous exposure to nitrous oxide is problematic or that an egg allergy will cause any problems with midazolam administration.
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