A woman received butorphanol (Stadol) IV for labor pain. Thirty minutes later, the patient's respiratory rate is 8 breaths/minute. What action by the nurse is best?
A.
Administer naloxone (Narcan) per protocol.
B.
Call the perinatal rapid response team.
C.
Reduce the next dose of Stadol by half.
D.
Hold the next dose of Stadol and notify the provider.
ANS: A
Butorphanol can cause both maternal and fetal respiratory depression. Naloxone is an opioid antagonist and will reverse the effects of opioids. This woman's respiratory rate is too low, and the nurse needs to administer naloxone per protocol. There is no need to call a perinatal RRT prior to administering the medication. The patient's medication regime should then be discussed with the provider.
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Fill in the blank(s) with the appropriate word(s).