A client with spinal stenosis was found unconscious by family members. The client's opioid pain medication and tricyclic antidepressant medication containers were empty. What will the nurse prepare to administer to this client?
Standard Text: Select all that apply.
1. Naloxone (Narcan)
2. Sodium bicarbonate
3. Pyridoxine (vitamin B6)
4. Syrup of ipecac
5. Activated charcoal
Correct Answer: 1,2
Rationale 1: Naloxone (Narcan) is the antidote for opioid medication overdose.
Rationale 2: Sodium bicarbonate is the antidote for tricyclic antidepressant medication overdose.
Rationale 3: Pyridoxine (vitamin B6) is not the antidote for either opioid or tricyclic antidepressant medication.
Rationale 4: Syrup of ipecac cannot be given to a client who is unconscious.
Rationale 5: Activated charcoal should be administered within 1 hour of oral ingestion of a poison or poisonous substance. Because the client was found unconscious, the amount of time that elapsed between ingestion and discovery cannot be determined. This medication would likely not be effective for the client.
Global Rationale: Naloxone (Narcan) is the antidote for opioid medication overdose. Sodium bicarbonate is the antidote for tricyclic antidepressant medication overdose. Pyridoxine (vitamin B6) is not the antidote for either opioid or tricyclic antidepressant medication. Syrup of ipecac cannot be given to a client who is unconscious. Activated charcoal should be administered within 1 hour of oral ingestion of a poison or poisonous substance. Because the client was found unconscious, the amount of time that elapsed between ingestion and discovery cannot be determined. This medication would likely not be effective for the client.
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