A client is brought to the emergency department with severe hypertension, nervousness, tremors, tachycardia, and post-seizure
According to the paramedics, the client was found lying next to an open bottle of amphetamine and dextroamphetamine (Adderall). The client is not coherent, but admits to taking the Adderall. The nurse should prepare to administer which treatments?
Standard Text: Select all that apply.
1. Chlorpromazine IV
2. Sodium bicarbonate
3. Flumazenil (Romazicon) IV
4. Gastric lavage
5. Phentolamine IV
Correct Answer: 1,4,5
Rationale 1: Chlorpromazine IV is administered to counteract the effects of amphetamine.
Rationale 2: Sodium bicarbonate decreases the elimination of Adderall from the body.
Rationale 3: Romazicon IV is administered for overdose of benzodiazepines.
Rationale 4: The treatment of overdose with amphetamine includes gastric lavage.
Rationale 5: Phentolamine IV would be administered if the client developed severe hypertension.
Global Rationale: Chlorpromazine IV is administered to counteract the effects of amphetamine. The treatment of overdose with amphetamine includes gastric lavage. Phentolamine IV would be administered if the client developed severe hypertension. Sodium bicarbonate decreases the elimination of Adderall from the body. Romazicon IV is administered for overdose of benzodiazepines.
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