A patient is brought to the emergency department with severe wheezing, dyspnea, and peripheral edema
The nurse assesses a respiratory rate of 30 breaths per minute, a heart rate of 88 beats per minute, and a blood pressure of 88/54 mm Hg. Which medication does the nurse expect to be given initially?
a. Albuterol
b. Diphenhydramine
c. Dopamine
d. Epinephrine
ANS: D
The patient has signs of anaphylactic shock, and the first medication given will be epinephrine because it treats both bronchoconstriction and hypotension. Albuterol may be given later to help with respiratory distress. Diphenhydramine is an antihistamine to treat tissue-induced swelling. Dopamine will be given if hypotension persists.
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