A patient has overdosed on benzodiazepines and is admitted in a comatose state. What is the best order for treatment?
Choice 1. Clear airway
Choice 2. Prepare to intubate
Choice 3. Prepare for IV fluids
Choice 4. Prepare for gastric lavage
Choice 5. Institute seizure precautions
Choice 6. Prepare for possible dialysis
Correct Answer: 1,2,3,4,5,6
With the overdosed and comatose patient, the airway is the first consideration (follows the ABCs). Next, the nurse needs to prepare for intubation of the patient as this is the second priority. The nurse will need to prepare for IV fluids. Gastric lavage may be done to try and remove any remaining drug. Seizure precautions are instituted as the patient may experience seizure activity. The patient may need dialysis to remove the drug that has reached the blood.
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