What is the nurse's highest priority when caring for a patient after a TCA overdose?
a. Frequently monitor blood pressure and heart rate/rhythm.
b. Monitor for skin rashes, particularly on the torso.
c. Measure and record intake and output every 12 hours.
d. Institute cooling blankets for hyperthermia.
A
It is necessary to assess cardiovascular function, because cardiovascular reactions can occur suddenly, even several days after the TCA overdose, and can result in acute heart failure. The other options are not as closely aligned with cardiovascular problems.
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A safe healthcare system is one in which patients can receive:
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A patient with myasthenia gravis has been on cholinesterase inhibitor therapy. The patient reports on occasion that she has some difficulty swallowing and periods of fatigue
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