A patient arrives in the emergency department complaining of dizziness, lightheadedness, and a pulsating headache. Further assessment reveals a blood pressure of 82/60 mm Hg and palpitations
The patient's friends tell the nurse that they were experimenting with "poppers." The nurse will expect to administer which medication? a. Diazepam [Valium]
b. Haloperidol [Haldol]
c. Methylene blue and supplemental oxygen
d. Naloxone [Narcan]
C
These findings are consistent with volatile nitrate overdose, as evidenced by the venous dilation. The primary toxicity is methemoglobinemia, which can be treated with methylene blue and sup-plemental oxygen. Diazepam would not be used for patients experiencing volatile nitrate over-dose, but it may be used in patients who have overdosed on hallucinogens. Haloperidol would be used in patients who have overdosed on amphetamines. Naloxone would be used to treat an opioid overdose.
You might also like to view...
A patient at risk for excess vascular volume should be assessed for
A) peripheral edema. B) pulmonary edema. C) liver congestion. D) All of the above are correct.
Convert 0450 to traditional time
What will be an ideal response?
What will the nurse keep in mind when planning care for an older patient diagnosed with asthma?
1. Asthma is not diagnosed as a new condition in older patients. 2. Asthma is treated with the same types of medications in older patients as in younger patients. 3. Older patients will have fewer side effects and drug interactions from asthma medications than younger patients. 4. Asthma can be differentiated from chronic obstructive pulmonary disease (COPD) by changes seen on a series of chest x-rays.
Which of the following nursing diagnoses is appropriate for a patient with acute lateral sclerosis (ALS)?
A) Chronic confusion B) Impaired urinary elimination C) Impaired verbal communication D) Bowel incontinence