During a surgical procedure, a client begins to demonstrate respiratory depression and hypotension after receiving a nondepolarizing blocker. Which treatments are indicated for this client?
Standard Text: Select all that apply.
1. Neostigmine (Prostigmin)
2. An antihistamine
3. Succinylcholine (Anectine)
4. A diuretic
5. Quinidine
Correct Answer: 1,2
Rationale 1: A nondepolarizing blocker can be treated by administering an acetylcholinesterase inhibitor such as neostigmine (Prostigmin).
Rationale 2: Hypotension can result after the administration of a nondepolarizing blocker, which is treated with an antihistamine-to-block histamine release.
Rationale 3: This is a depolarizing blocker that would potentiate the effects of the nondepolarizing medication.
Rationale 4: A diuretic would potentiate the effects of this medication.
Rationale 5: Quinidine potentiates the effects of this medication.
Global Rationale: A nondepolarizing blocker can be treated by administering an acetylcholinesterase inhibitor such as neostigmine (Prostigmin). Hypotension can result after the administration of a nondepolarizing blocker, which is treated with an antihistamine-to-block histamine release. Succinylcholine (Anectine) is a depolarizing blocker that would potentiate the effects of the nondepolarizing medication. A diuretic and quinidine would both potentiate the effects of this medication.
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